Table 1.
Authors recommendations on the use of orthopaedic implant and fixation techniques for Total Hip Arthroplasty in Tuberculosis of the hip joint.
| Tuberculosis of the hip with associated scenario | Author’s recommendation on the type of implants and fixation technique | |
|---|---|---|
| 1 | Poor bone quality (elderly) | Conventional Cemented total hip arthroplasty |
| 2 | Good bone quality (younger patient) | Conventional Cementless total hip arthroplasty |
| 3 | Sclerotic acetabular margin | Modern porous coated metal cups |
| 4 | Acetabular defect with adequate head preserved | Bone Grafting with resected head and modern porous coated metal cup |
| 5 | Acetabular defect with loss of femoral head | Trabecular metal shell with Trabecular metal augments as and when required |
| 6 | Preserved neck in a younger patient | Neck preserving stems and/or short tapered wedge stems |
| 7 | Loss of femoral head but preserved calcar | Modular stem prosthesis |
| 8 | Subluxation or dislocation of the femoral head | Modular stem prosthesis and dual mobility cup at the native acetabulum |
| 9 | High up ridden and/or deformed femur | Modular stem prosthesis with or without subtrochanteric osteotomy |
| 10 | Childhood disease and late presentation with the narrow femoral canal | Modular stem prosthesis with or without subtrochanteric osteotomy |