Immediate Cementless Hemiarthroplasty for Severe Destructive Glenohumeral Tuberculous Arthritis
The glenohumeral joint tuberculosis (TB) is rare as compared with other joints. Plaster immobilization, arthrodesis, and resection arthroplasty have been proposed as the additional treatments with anti-TB medications in severe destructive arthritis. To our knowledge, however, the surgical treatment...
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Format: | Article |
Language: | English |
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Wiley
2013-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2013/426102 |
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author | Suriya Luenam Arkaphat Kosiyatrakul |
author_facet | Suriya Luenam Arkaphat Kosiyatrakul |
author_sort | Suriya Luenam |
collection | DOAJ |
description | The glenohumeral joint tuberculosis (TB) is rare as compared with other joints. Plaster immobilization, arthrodesis, and resection arthroplasty have been proposed as the additional treatments with anti-TB medications in severe destructive arthritis. To our knowledge, however, the surgical treatment with shoulder arthroplasty has never been reported. We present two cases of active TB with unsalvageable glenohumeral joint. The cementless hemishoulder arthroplasties were performed immediately following the radical debridement. Anti-TB medications were given for 12 months after the surgery. Postoperatively, the patients were satisfied with the rapid symptomatic relief and significant functional recovery. With the follow-up period of 5 years, the operative results were still satisfactory and the reactivation of the infection was not detected. |
format | Article |
id | doaj-art-cd2e537748984f558f19e46b47f1801f |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-cd2e537748984f558f19e46b47f1801f2025-02-03T05:54:03ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/426102426102Immediate Cementless Hemiarthroplasty for Severe Destructive Glenohumeral Tuberculous ArthritisSuriya Luenam0Arkaphat Kosiyatrakul1Department of Orthopaedics, Phramongkutklao Hospital and College of Medicine, 315 Ratchawithi Road, Bangkok 10400, ThailandDepartment of Orthopaedics, Phramongkutklao Hospital and College of Medicine, 315 Ratchawithi Road, Bangkok 10400, ThailandThe glenohumeral joint tuberculosis (TB) is rare as compared with other joints. Plaster immobilization, arthrodesis, and resection arthroplasty have been proposed as the additional treatments with anti-TB medications in severe destructive arthritis. To our knowledge, however, the surgical treatment with shoulder arthroplasty has never been reported. We present two cases of active TB with unsalvageable glenohumeral joint. The cementless hemishoulder arthroplasties were performed immediately following the radical debridement. Anti-TB medications were given for 12 months after the surgery. Postoperatively, the patients were satisfied with the rapid symptomatic relief and significant functional recovery. With the follow-up period of 5 years, the operative results were still satisfactory and the reactivation of the infection was not detected.http://dx.doi.org/10.1155/2013/426102 |
spellingShingle | Suriya Luenam Arkaphat Kosiyatrakul Immediate Cementless Hemiarthroplasty for Severe Destructive Glenohumeral Tuberculous Arthritis Case Reports in Orthopedics |
title | Immediate Cementless Hemiarthroplasty for Severe Destructive Glenohumeral Tuberculous Arthritis |
title_full | Immediate Cementless Hemiarthroplasty for Severe Destructive Glenohumeral Tuberculous Arthritis |
title_fullStr | Immediate Cementless Hemiarthroplasty for Severe Destructive Glenohumeral Tuberculous Arthritis |
title_full_unstemmed | Immediate Cementless Hemiarthroplasty for Severe Destructive Glenohumeral Tuberculous Arthritis |
title_short | Immediate Cementless Hemiarthroplasty for Severe Destructive Glenohumeral Tuberculous Arthritis |
title_sort | immediate cementless hemiarthroplasty for severe destructive glenohumeral tuberculous arthritis |
url | http://dx.doi.org/10.1155/2013/426102 |
work_keys_str_mv | AT suriyaluenam immediatecementlesshemiarthroplastyforseveredestructiveglenohumeraltuberculousarthritis AT arkaphatkosiyatrakul immediatecementlesshemiarthroplastyforseveredestructiveglenohumeraltuberculousarthritis |