Tuberculosis of the Skeletal System (Bones, Joints, Spine and Bursal Sheaths)

This book presents a comprehensive perspective on tuberculosis in the context of India’s ambitious goal to eliminate the disease by 2025, ahead of the global WHO target. It explores the persistent challenges posed by poverty, displacement, drug resistance, antimicrobial resistance, and gaps in disease notification, which continue to fuel the global TB burden. With a particular focus on orthopedic tuberculosis, the book discusses current diagnostic and therapeutic advances, emphasizing early detection, effective antitubercular therapy, and judicious surgical intervention. It also highlights the role of public health systems, global cooperation, and civil society in combating tuberculosis and other communicable diseases. Through clinical insights and public health reflections, the book underscores the urgent need for unified, practical strategies to reduce human suffering and move toward a healthier, disease-free global community. The philosophy of management of skeletal tuberculosis has been greatly influenced by the availability of effective antitubercular drugs, facility of modem imaging modalities for diagnosis at predestructive stages of disease, and changes in the socioeconomic status of the people. Techniques have evolved to retain and restore the mobility of articular disease. The looming challenge of "super-bugs" has been addressed with possible modalities to combat it by immune potentiating techniques. The 7th edition is a compilation of the personal clinical experience of the author and relevant information from the international literature. Many new pictures have been added mostly as "composites" to express the "Story" as it evolves in clinical management. This book is a source of knowledge of biological processes of activity and healing of disease, and for rational options for effective and safe management of tuberculosis of the skeletal system.

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