A patient of tubercular synovitis of hip joint was staed on ATT and skin traction was applied, no improvement is seen after prolonged chemotherapy. What will be the next best step?
Tuberculous synovitis Uncommon even in countries where tuberculosis is still rife. Diagnosis should be considered in patients with chronic synovitis once the alternatives such as rheumatoid disease have been excluded, it can be confirmed by synol biopsy. Rx First line - Chemotherapy and traction No relief - Joint open by posterior approach,joint debridement and Synovectomy done
Total hip replacement
Ahrodesis
Continue the same for a period of 12 months
Synovectomy and joint debridement
Tuberculosis of Bone and Joints