Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Orthop. Mar 18, 2026; 17(3): 113746
Published online Mar 18, 2026. doi: 10.5312/wjo.v17.i3.113746
Published online Mar 18, 2026. doi: 10.5312/wjo.v17.i3.113746
Outcome of single-stage total hip arthroplasty in advanced active tubercular arthritis of the hip in Indian patients
M Julfiqar, Aamir Bin Sabir, Deepak Bhateja, Yasir Salam Siddiqui, Afaq Alam, Syed Mohd Shoaib, Abdul Qayyum Khan, Naiyer Asif, Mazhar Abbas, Latif Zafar Jilani, Mohd Faizan, Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College and Hospital, Faculty of Medicine, Aligarh Muslim University, Aligarh 202002, Uttar Pradesh, India
Author contributions: Julfiqar M participated in designing the original draft, concepts, definition of intellectual content, and manuscript revision; Julfiqar M and Shoaib SM prepared the response to the editor and reviewer; Bin Sabir A and Bhateja D participated in developing the methodology, literature search, data acquisition, and descriptive data analyses; Siddiqui YS and Alam A participated in the literature search, similarity crosscheck, and its interpretation; Shoaib SM and Faizan M participated in the statistical analyses of the data, manuscript preparation, and editing; Khan AQ, Asif N, Abbas M, Jilani LZ, and Faizan M participated in designing the research, critical review, analyzing the manuscript, and developing the methodology; All authors read and approved the final version of the manuscript to be published.
Institutional review board statement: The study was reviewed and approved by the Jawaharlal Nehru Medical College and Hospital, Faculty of Medicine, Aligarh Muslim University.
Clinical trial registration statement: At present clinical trial registration is not mandatory for studies that are already approved by the institutional review board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at zzali1983@gmail.com. Participants gave informed consent for data sharing.
Corresponding author: M Julfiqar, MS, Assistant Professor, Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College and Hospital, Faculty of Medicine, Aligarh Muslim University, Civil Line, Aligarh 202002, Uttar Pradesh, India. zzali1983@gmail.com
Received: September 2, 2025
Revised: September 30, 2025
Accepted: December 16, 2025
Published online: March 18, 2026
Processing time: 195 Days and 16.5 Hours
Revised: September 30, 2025
Accepted: December 16, 2025
Published online: March 18, 2026
Processing time: 195 Days and 16.5 Hours
Core Tip
Core Tip: Single-stage primary total hip arthroplasty in patients with advanced active tubercular arthritis of the hip (stages 3 and 4) provides a satisfactory outcome in most patients, with a relatively high risk of complications in certain selected cases. Poor compliance with antitubercular treatment is associated with the risk of disease reactivation, despite adequate preoperative antitubercular treatment and the absence of an active discharging sinus.