Forked osteotomy arthroplasty for elbow tuberculosis: six years of follow-up

Bao, Yifan; Li, Yulin; Ning, Guangzhi; Wu, Qiang; Feng, Shiqing

doi:10.1007/s00590-013-1274-2

Cited by 2 publications

(7 citation statements)

References 10 publications

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“…Besides, classic drug therapy is not really efficacious for those patients who are at advanced stages with specific joint activity restriction. The efficient treatment calls for a combination of surgical removal and drug therapy [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Characteristics and management of bone and joint tuberculosis in native and migrant population in Shanghai during 2011 to 2015

et al. 2018

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BackgroundChina had the third highest burden of tuberculosis population in the world. Bone and joint tuberculosis was a major part and its characteristics were rarely discussed before. This study was designed to review the characteristics and management of bone and joint tuberculosis among native and migrant population in Shanghai, China during 2011–2015.MethodsA retrospective analysis of the patient clinical records on their demographic information, clinical features and treatment was conducted from three tertiary referral hospitals. Analysis of continuous variables included calculation of the median value with interquartile range. Categorical variables were displayed as percentages and compared using the Fisher’s exact test and chi-square test. All continuous variables were compared using Student’s unpaired t-test and Mann Whitney U test.ResultsOne hundred fifteen patients with bone and joint tuberculosis were involved in this study. Native people were generally older (p = 0.003) and had more comorbidities like hypertension (40.74% vs. 16.39%, p = 0.004), diabetes mellitus (38.89% vs. 13.11%, p = 0.001), and cancer (31.48% vs. 14.75%, p = 0.032) than migrants. Migrant patients generally experienced a longer period of uncomfortable feelings before going to doctor than native people (p = 0.007). Spine was a major infection site in comparison with other peripheral joints. Radiological evaluation displayed increased osteolytic reaction in migrant patients compared with native people (p = 0.031). The mean time for anti-tuberculosis treatment was significantly longer in native Shanghai patients (8.96 months vs. 7.94 months, p = 0.003). The curative ratio displayed a significant difference between native and migrant patients (88.24%vs.75.93%, p = 0.009).ConclusionBone and joint tuberculosis exhibited a poorer outcome in migrant people, who also had longer period of manifestation, more severe osteolytic reaction from CT scan and higher recurrent rate than native people. The surgical treatment in addition to anti-tuberculosis drug therapy had great implications for bone and joint tuberculosis recovery.

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Section: Introductionmentioning

confidence: 99%

Characteristics and management of bone and joint tuberculosis in native and migrant population in Shanghai during 2011 to 2015

et al. 2018

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“…33 The presence of a sinus is an important clinical feature of TB as other infections rarely cause such sinuses. 18 Tubercular sinus may communicate with the elbow joint or lymph nodes and may present on posterolateral, lateral, posterior, and even on medial aspects of the elbow. Epitrochlear, supratrochlear, or even axillary lymph nodes may be affected 14,24,27 In the initial stages of the disease, protective muscle spasm due to irritation of the joint cause loss of movement and flexion deformity.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…Out of 13 studies (292 elbows), which were included in the analysis, Wilson et al did not use combined chemotherapy whilst Bao et al and Prakash et al did not mention the duration of combined chemotherapy. 9,18,19 Rest 10 studies have mentioned the duration of treatment.…”

Section: Non-operative Managementmentioning

confidence: 99%

“…In this procedure, the joint stability is relatively well maintained as compared to excision arthroplasty. 18 Rex et al performed forked osteotomy arthroplasty in 9 cases and their mean Mayo's elbow performance score (MEPS) increased from 48 to 80 postoperatively. 54 operatively and range of motion (ROM) increased from a mean of 2.5 e82.3 .…”

Section: Operative Management Optionsmentioning

confidence: 99%

“…54 operatively and range of motion (ROM) increased from a mean of 2.5 e82.3 . 18 Meticulous dissection is required during such surgery since anatomy could have been distorted due to destruction. There are chances of neurological insult in such cases.…”

Section: Operative Management Optionsmentioning

confidence: 99%

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Current concepts in the diagnosis and management of tuberculosis of the elbow joint

Upadhyaya

Kumar

Iyengar

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Elbow is an uncommon joint to be affected by Mycobacterium tuberculosis infection. It is involved in approximately 1e5% of all cases with musculoskeletal tuberculosis (TB). Early diagnosis of TB of the elbow joint can be easily missed due to an indolent natural history, delay in presentation, and varied clinical features. Delay in diagnosis can lead to irreversible osteoarticular destruction and loss of joint function. Careful clinical assessment, adequate imaging, microbiological, and/or histopathological confirmation of Mycobacterium tuberculosis infection is essential for early diagnosis of TB of the elbow joint. Judicious and early administration of anti-tubercular therapy can lead to preservation of the joint and a satisfactory functional outcome. Surgical intervention may be needed in later stages of the disease to achieve control of the infection, correction of deformity, instability, and restoration of function.

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Forked osteotomy arthroplasty for elbow tuberculosis: six years of follow-up

Abstract: III.

Cited by 2 publications

References 10 publications

Characteristics and management of bone and joint tuberculosis in native and migrant population in Shanghai during 2011 to 2015

Characteristics and management of bone and joint tuberculosis in native and migrant population in Shanghai during 2011 to 2015

Current concepts in the diagnosis and management of tuberculosis of the elbow joint

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