0
Journal Contents   |    
OPERATIVE FIXATION OF TUBERCULOUS HIPS IN CHILDREN End-Result Study of Thirty-three Patients from the Orthopaedic Department of the Childrens' Hospital
JOHN C. WILSON
The Journal of Bone & Joint Surgery.  1933; 15:22-47 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

This report must be considered in the light of a preliminary study. The number of patients observed is not sufficiently great to warrant positive statements relative to the healing of bone and joint tuberculosis. An additional ten to fifteen years of observation will be essential before it can be definitely recommended that all tuberculous hips in children should be fused in a position of fifteen degrees of flexion and ten degrees of abduction.

It is believed that early fusion of tuberculous joints conserves the growing elements of bone, thereby eliminating the disability due to shortening.

Hibbs's observation, that fusion of the bone flap or strut is followed by consolidation of the diseased area, has been confirmed.

Joint tuberculosis will heal rapidly when motion is eliminated. This may be successfully accomplished by iliofemoroplasty. Draining sinuses are not a contra-indication to iliofemoroplasty. The sinuses will close when the bone and joint lesion is healed. Secondary infection is of no practical importance so far as the operation itself is concerned. The general physical condition of the patient is uniformly good after ankylosis of the diseased joint takes place.

Iliofemoroplasty is not a difficult technical procedure and it may be done without danger to life.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    02/23/2012
    ME - Health Search New England
    03/01/2012
    OH - MetroHealth Medical Center
    01/04/2012
    LA - LSU Health Shreveport