Tuberculosis of the bones and joints in the different localization (methods of diagnostics and surgical treatment)

Abstract

Summary In spite of obtained results of diagnostics and treatment tuberculosis of the bones and joint in the last decade, the problem does not cease to be relevant. Tuberculosis of bones and joints in the structure of the incidence of extrapulmonary tuberculosis takes the first place. The basis of the work consisted of 28 patients with signs of tuberculous lesions of bones and joints, including in combination with lung damage.Methods of radiology do not always ­allow differentiate specifically or not specifically character of inflammatory. Final diagnosis is possible with a combination of all research methods: clinical, radiology, microbio­logy and morphological. For the diagnosis of tuberculosis in the early stages of any form of tuberculosis, especially bone and joint forms, you can use the method of spectral-­fluorescent analysis, which tracks biochemical changes in blood plasma, reflects them as changes in the intensity of the integral fluorescence, which allows you to prescribe anti-tuberculosis therapy in the early stages.Inflammatory process is accompained a massive foci of bone destruction, that need to be replaced after removal of the pathological focus. The choice of substitute material depends on the nature and degree of activity of inflammation. Comprehensive use of modern survey methods (Diaskin test, T-spot TB, IF blood analysis, Spectral-fluorescent analysis) in patients with osteo-articular tuberculosis, it is possible to verify the diagnosis correctly, to initiate anti-tuberculosis therapy in the preoperative period, which significantly improves the long-term results of treatment of this pathology.