FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to phthisio-orthopedics and can be used for treatment of progressing tuberculosis of hip joint. For this purpose first pre-operation anti-tuberculosis therapy is performed by 4 medications in usual dosages during 30 days. After that performed is sanitising operation on hip joint in volume of necrotomy of destruction foci, plasty of joint defects, application of apparatus constructions. Then, after 8-12 month course of anti-tuberculosis treatment by 4 medications in case of absence of signs of activity of specific inflammatory process in joint, confirmed by clinical, radiation and laboratory methods, total arthroplasty is performed. After that, one more course of intensive anti-tuberculosis treatment during 4-6 months is performed.
EFFECT: method ensures increase of efficiency of surgical treatment of progressing tuberculosis of hip joint due to radical sanitisation of specific focus in joint affected by tuberculosis and creation of optimal conditions for functionally directed operation of arthroplasty, thus considerably improve patient's life quality in early time.
5 dwg, 1 ex
