Bone microarchitecture in patients with autoimmune hepatitis.

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Abstract

[Indexed for MEDLINE] 11. J Clin Orthop Trauma. 2021 Mar 28;17:214-217. doi: 10.1016/j.jcot.2021.03.018. eCollection 2021 Jun. Total hip arthroplasty in tubercular arthritis of the hip - Surgical challenges and choice of implants. Gautam D(1), Jain VK(2), Iyengar KP(3), Vaishya R(4), Malhotra R(1). Author information: (1)Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), New Delhi, 110029, India. (2)Department of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences, Dr Ram Manohar Lohia Hospital, New Delhi, 110001, India. (3)Southport and Ormskirk NHS Trust, Southport, PR8 6PN, UK. (4)Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, Mathura Road, 110076, New Delhi, India. Osteoarticular tuberculosis of the hip joint can be a debilitating disease that can result in severe cartilage degeneration, destruction, and eventual painful arthritis of the hip. Usually, a secondary affliction to a primary lung disease, Tuberculosis (TB) of the hip can be difficult to diagnose due to its indolent natural history and deep-seated nature of the hip joint itself. Untreated, ultimately TB hip leads to disabling arthritis of the hip with limitation of activities of daily living, livelihood, and socio-economic consequences. Historic surgical options such as arthrodesis and excision arthroplasty of TB hip have limitations and several disadvantages. Total hip arthroplasty (THA) is a viable option to restore mobility and relieve pain in patients with severe post-tuberculous arthritis but has been controversial in the past due to the concerns of disease reactivation. We evaluate the current role of THA in TB of the hip, its various applications in different presenting scenarios with a guide to surgical tips and tricks for managing this challenging condition. © 2021 Delhi Orthopedic Association. All rights reserved. DOI: 10.1016/j.jcot.2021.03.018 PMCID: PMC8047221