Articles Vol. 65 No. CĐ 3 - Bệnh viện Phổi Trung ương 15/05/2024

15. REMARKS ON THE RESULTS OF TRIPOD ACETABULAR HIP REPLACEMENT IN THE TREATMENT OF STAGE IV HIP TUBERCULOSIS AT NATIONAL LUNG HOSPITAL IN 2023

Do Dang Hoan1,2, Nguyen Khac Trang1,2
1 National Lung Hospital
2 Bệnh viện Phổi Trung ương
Corresponding author: Dodanghoan@gmail.com
DOI: 10.52163/yhc.v65iCD3.1111
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Keywords
Hip tuberculosis, Tripod cup, acetabular defect.
Abstract

Introduction: Hip tuberculosis is secondary tuberculosis, accounting for about 15-20% of bone and joint tuberculosis diseases. Hip tuberculosis is a difficult disease to diagnose and treat, especially late-stage hip tuberculosis, which destroys the acetabulum and femoral neck.

Objectives: 1) Review the clinical characteristics and diagnostic imaging of patients undergoing Tripod acetabular hip replacement; 2) Review the outcome of total hip replacement with Tripod cup to treat stage IV hip tuberculosis at the National Lung Hospital in 2023.

Method: Clinical intervention study without control group.

Results: Average age of the study group: 47.2 ± 15.1 years; Gender: Men account for 68.7%;Lesions in the acetabulum of the research group: Type IA had 5 patients (15.6%), type IB had 15 patients (46.9%), type IC had 12 patients (37.5%). 1 year after hip replacement, no patient showed signs of acetabular instability.

Conclusion: Hip replacement with a Tripod cup for cases of hip tuberculosis without damage to the medial wall is a good choice, helping to avoid the need for acetabular bone grafting or the use of acetabular augmentations, which increases costs. and risk to patients.

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