Tuberculosis Study Guide - M.M. Savula 2002

Extrapulmonary tuberculosis
Bone and joint tuberculosis
Therapeutic management of bone and joint tuberculosis

Treatment of Bone and joint Tuberculosis involves long-term (610 months) use of 3-4 antibacterial drugs. Standard Chemotherapy is supplemented by intra-articular or intraosseous drug administration. Along with this, ensuring rest, offloading, and immobilization of the affected organ in a physiological position (such as a plaster bed, a spinal board for spinal tuberculosis, or a plaster cast for hip joint tuberculosis) are of great importance. In the past, these Methods were the cornerstone of treating bone and joint tuberculosis, but today they are used less frequently.

In the Cytology/cytology/16.html">Early stages of Osteoarticular Tuberculosis, long-term chemotherapy, rest, and offloading can achieve a cure with no or minimal impairment of joint or spinal function. In cases of delayed Diagnosis accompanied by the destruction of vertebrae or joints and cold abscesses, abscess drainage, sequestrectomy, and conservative resection of the affected joints or vertebrae followed by reconstructive surgery are performed. Orthopedic appliances, massage, physical therapy, and Therapeutic Exercises are also utilized.