Therapy
Conservative therapy is based on administration of analgesics, antipyretics and of course antibiotics. Even in this situation, before receiving the results of cultivation and sensitivity, we administer anti-staphylococcal antibiotics intravenously in high doses. Surgical therapy is based on revision of the joint, evacuation of pus, excision of necrotic tissue, and instillation of a lavage or drainage system. Operative revision may be performed arthroscopically. In extensive cases and those with severe degenerative changes, a part of the procedure may include excision of bruised synovial linings known as synovialectomy. In the postoperative period, we temporarily immobilize the joint. Later we begin rehabilitation with passive movements of the joint. Prompt mobilization of the joint allows for the conservation of the greatest portion of movement for later stages of life.
Bone Tuberculosis Definition
Tuberculosis in bones is a specific bone inflammation which includes the formation of specific granulation tissue, consisting of mostly modified histiocytes; neo-angiogenesis is practically absent. Immunologically, we detect a lack of free serum antibodies. In addition to tuberculosis, specific inflammations include syphilis and leprosy. From an orthopedic point of view, tuberculosis is the most severe of the specific inflammations. Incidence
Tuberculosis is a very severe disease. Incidence, prevalence, and mortality of this disease has not changed in a very long time. Worldwide, approximately one-third of the population is affected, with 10% developing the disease. The most affected regions include Africa, Western Pacific, and Eastern Europe.
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