Early debridement improves outcome in managing ankle tuberculosis: a systematic review

Authors

  • Ignatius Angga Rusdianto Department of Orthopaedic Surgery, St. Carolus Bone and Joint Centre, Jakarta, Indonesia
  • Fidia Tania Department of Orthopaedic Surgery, St. Carolus Bone and Joint Centre, Jakarta, Indonesia
  • Belinda Azhari Siswanto Department of Orthopaedic Surgery, St. Carolus Bone and Joint Centre, Jakarta, Indonesia
  • Astuti Pitarini Department of Orthopaedic Surgery, St. Carolus Bone and Joint Centre, Jakarta, Indonesia

DOI:

https://doi.org/10.31282/joti.v3n1.52

Keywords:

Tuberculosis, Extrapulmonary, Ankle, Debridement, Systematic Review

Abstract

Introduction:

Extrapulmonary tuberculosis (EPTB) accounting for 10% of all cases and the involvement of the musculoskeletal system was only 3%, in which the spinal TB is the most common form. The incidence of ankle TB was found to be less than 1% of all musculoskeletal TB and often misdiagnosed. In Indonesia, the prevalence of TB is 660 from 100,000 people. There is no known data for EPTB, including musculoskeletal TB. The diagnosis of tuberculosis infection in a joint is difficult. Untreated ankle TB and diagnostic delay may result in local cartilage destruction and functional disability, leading to a poorer prognosis. This systematic review aims to find out if early surgical treatment of ankle TB affects the outcomes and the importance of laboratory tests of ankle TB. Our hypothesis predicts better outcomes with earlier surgical treatment for ankle TB.

Methods:

EBSCO, Proquest, Pubmed, ScienceDirect, and Google Scholar were searched using the terms

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Additional Files

Published

2021-02-05