ABSTRACT
The surgical options vary from excision arthroplasty to hip replacement. Total hip replacements (THR) in the active stage of the disease are yet another area of controversy. Tuberculosis (TB) of the hip is still a common condition in developing countries. Diagnosis is mainly clinicoradiological; however, supportive blood investigations and imaging modalities like ultrasonography (USG) and magnetic resonance imaging (MRI) are helpful. Histological proof may not be necessary in all the cases in the endemic zones for TB. The management depends upon the stage of clinical presentation and the severity of destruction as visible radiologically. From conservative therapy in the form of antitubercular chemotherapy (ATT) and traction to debridement and joint replacement, a variety of surgical procedures has described. Total hip arthroplasty (THA) in the tuberculous hip is a safe procedure and produces superior functional results compared with resection arthroplasty or arthrodesis.
