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June 27, 1966

Girdlestone's Tuberculosis of Bone and Joint

Author Affiliations

Los Angeles

JAMA. 1966;196(13):1163. doi:10.1001/jama.1966.03100260101049

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The original work of Girdlestone has been modified to some extent in this third edition to present the new techniques for the treatment of tuberculosis since the advent of antibiotics. Surgical excision of the disease by synovectomy or removal of sequestrum and necrotic tissue under antibiotic protection has been emphasized. These methods have preserved joint function, arrested the progression of the disease, and shortened the period of hospitalization.

A general introduction to tuberculosis of bone and joint is presented, including a chapter on diagnosis and the general treatment of the patient. Specific chapters on the hip, spine, sacroiliac joint, ankle, shoulder, elbow, wrist, and hand are presented, including a separate chapter on Pott's paraplegia. The diagnosis, pathology, differential diagnosis, and treatment of each joint are discussed. The operations for treatment of the various joints are described, but not in detail.

The chapters are well written, and in general the illustrations

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