TUBERCULOSIS OF THE KNEE IN CHILDREN

被引:19
作者
LEE, AS [1 ]
CAMPBELL, JAB [1 ]
HOFFMAN, EB [1 ]
机构
[1] MAITLAND COTTAGE HOSP,CAPE TOWN 7700,SOUTH AFRICA
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1995年 / 77B卷 / 02期
关键词
D O I
10.1302/0301-620X.77B2.7706356
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We reviewed 33 children with tuberculosis of the knee treated during the period from 1979 to 1991, All were treated with triple chemotherapy, using rifampicin, isoniazid and pyrazinamide for nine months, No patient had a synovectomy; surgery was limited to open biopsy or salvage procedures such as posterior release and arthrodesis for late stages of the disease. The radiological appearance of the knee at presentation predicted the outcome. The 30 patients with stage-1 (normal) or stage-2 (osteomyelitic) disease had excellent or good results; the three with narrowed joint spaces in stage 3 or stage 4 (arthritic) had fair or poor results. Early active mobilisation, as against long-term immobilisation, seemed to have no effect on the outcome of stage-1 or stage-2 disease.
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收藏
页码:313 / 318
页数:6
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