DOI: 10.36347/sjams.2017.v05i12.012

Pages: 4836-4839

Osteoarticular tuberculosis can affect all bone and joint structures in the body, accounting for 2 to 5% of all tuberculosis cases and 11 to 15% of extrapulmonary tuberculosis cases. We conducted a retrospective study of 54 cases of hip tuberculosis collected in the orthopedic traumatology unit of Ibn Sina University Hospital in Rabat between 1998 and 2016. We found that it affects both sexes with a clear predominance male, and all ages with a predilection of adulthood between 17 and 39 years. The symptomatology is most often insidious characterized by inguinal or gluteal pain most often associated with functional impotence. All our patients benefited from a paraclinical assessment made of radiographs of the pelvis and the hip and 20 of them benefited from a CT scan. The diagnosis of certainty was based on bacteriology and histology: the first often negative (76.47%) because of the pauci bacillary character of coxalgia, against the histological analysis of surgical biopsies can highlight specific lesions tuberculosis (76%). Medical treatment with antituberculous drugs was considered for all patients either according to the 2RHZ / 7RH protocol. Regarding surgical treatment, it was performed in 34 patients: 20 to drain an abscess and 14 to reduce ankylosis or stiffness of the hip: establishment of a total hip prosthesis. The results of the treatment were very good for 11.11% of our patients, good for 33.33%, average for 33.33% and bad for 22.22%. The prognosis depends on the early diagnosis and treatment.