Skip to main content
. 2021 Mar 28;17:214–217. doi: 10.1016/j.jcot.2021.03.018

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