What does this research mean for the field?

Dual-approach total hip arthroplasty combined with gluteal reconstruction provides early clinical and radiographic improvement in patients with complex post-tuberculous hip ankylosis and abductor deficiency. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe the surgical technique and short-term functional outcomes of dual-approach total hip arthroplasty combined with abductor reconstruction in severe post-tuberculous hip ankylosis.

August 30, 2026Journal of Musculoskeletal Surgery and ResearchOpen Access

Management of tuberculous hip ankylosis using dual-approach total hip arthroplasty and gluteal reconstruction: A case report

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Authors

SBShihab A. Bostaji KAKhalid M. Alhomayani AAAbdullah Alshanqiti

Discussion

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Overview

Case report reveals restored mobility and reduced pain after dual-approach total hip arthroplasty in a man with tuberculous hip ankylosis, indicating viable salvage for complex fused joints.

Key Points

To describe the surgical technique and short-term functional outcomes of dual-approach total hip arthroplasty combined with abductor reconstruction in severe post-tuberculous hip ankylosis.
Treated a 34-year-old male with long-standing post-tuberculous complete osseous hip ankylosis, severe deformity, and MRI-confirmed fatty degeneration of the gluteus medius and minimus.
Performed dual-approach total hip arthroplasty using a dual-mobility acetabular cup, cementless conical stem, and abductor reconstruction via gluteus maximus and tensor fascia lata transfer.
At 7 months postoperatively, hip flexion reached 90°, resting hip pain dropped from 7/10 to 2/10, and mechanical low-back pain decreased from 8/10 to 3/10.
The patient achieved unassisted ambulation with improved gait mechanics, while radiographs confirmed stable implant positioning without loosening, subsidence, or heterotopic ossification.

Cite This Study

Bostaji et al. (2026) studied this question.

synapsesocial.com/papers/6a941ce46c1a8fb52e79e751 https://doi.org/10.25259/jmsr_235_2026

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August 30, 2026Journal of Musculoskeletal Surgery and ResearchOpen Access

Management of tuberculous hip ankylosis using dual-approach total hip arthroplasty and gluteal reconstruction: A case report

View Full Paper

Ask AI

Bookmark

Authors

SBShihab A. Bostaji KAKhalid M. Alhomayani AAAbdullah Alshanqiti

Discussion

Member takes

Overview

Case report reveals restored mobility and reduced pain after dual-approach total hip arthroplasty in a man with tuberculous hip ankylosis, indicating viable salvage for complex fused joints.

Key Points

To describe the surgical technique and short-term functional outcomes of dual-approach total hip arthroplasty combined with abductor reconstruction in severe post-tuberculous hip ankylosis.
Treated a 34-year-old male with long-standing post-tuberculous complete osseous hip ankylosis, severe deformity, and MRI-confirmed fatty degeneration of the gluteus medius and minimus.
Performed dual-approach total hip arthroplasty using a dual-mobility acetabular cup, cementless conical stem, and abductor reconstruction via gluteus maximus and tensor fascia lata transfer.
At 7 months postoperatively, hip flexion reached 90°, resting hip pain dropped from 7/10 to 2/10, and mechanical low-back pain decreased from 8/10 to 3/10.
The patient achieved unassisted ambulation with improved gait mechanics, while radiographs confirmed stable implant positioning without loosening, subsidence, or heterotopic ossification.

Cite This Study

Bostaji et al. (2026) studied this question.

synapsesocial.com/papers/6a941ce46c1a8fb52e79e751 https://doi.org/10.25259/jmsr_235_2026

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