Orthopedics - Oleksa A.P. 2006

Osteoarticular Tuberculosis
Surgical Treatment of Osteoarticular Tuberculosis

Surgical Treatment is an essential component of the comprehensive management of Osteoarticular Tuberculosis. It is crucial to detect bone tuberculosis in its pre-arthritic and pre-spondylitic phases, because tuberculous osteitis allows for the best outcomes in both conservative and surgical treatment, thereby preventing significant destructive changes.

Unfortunately, tuberculous osteitis is rarely detected and frequently misdiagnosed. Consequently, phthisiosurgeons are often forced to treat patients with advanced forms of tuberculosis, as well as those suffering from Tuberculous Spondylitis and coxitis accompanied by cold abscesses or even fistulae.

The scope and success of surgical interventions always depend on the localization and extent of the identified destructive changes, as well as on appropriate preoperative preparation of the patient.

If a patient has an active (open) form of Pulmonary Tuberculosis—which occurs in 3% of cases—surgery must be postponed until Laboratory tests for Koch's bacillus (TB) turn negative following treatment.



Last update: 10/08/2026

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