Arthrites primitives de hanche de l'adulte

Abstract

Between 1950 and 1991 the authors have treated 45 adults with primary septic arthritis of the hip, not including tuberculosis. The mortality rate was 13%. There is an accompanying septicaemia, or, more commonly, a bacteraemia, and other general and local factors are often present. The diagnosis may be obvious, but in 50% of cases the presentation may be atypical and the clinical diagnosis uncertain. Confirmation of the diagnosis is by a positive culture from the aspirate, and a Staphylococcus is the usual organism found. The various methods of management used are discussed and the literature analyzed. Wide drainage of the hip is recommended. Arthrodesis is now rarely necessary, and a total replacement arthroplasty may be undertaken when the infection has been controlled. Six out of seven such procedures carried out in their unit in the last 10 years have been successful.

Osteonecrosis of the hip in sickle-cell disease associated with tuberculous arthritis

“…Tuberculous arthritis of the hip associated with sickle-cell disease is probably related to the damage produced by avascular necrosis which has produced an ideal site for the activities of the tubercle bacillus. Although this combination as a cause of a tuberculous hip is relatively rare [6] when compared to the incidence of uncomplicated tuberculosis of the adult hip, it does accentuate various important points:…”

Stratégie diagnostique des arthrites septiques à pyogènes des membres

“…On comprend que dans les coxites infectieuses le délai diagnostique dépasse un mois dans le tiers de nos cas [40] et dans près de la moitié de ceux d'Evrard et Soudrié [41].…”

High 2-year mortality and recurrent infection rates after surgical treatment for primary septic arthritis of the hip in adult patients

“…In adult patients with hip pain, septic arthritis of the hip is a rare diagnosis. [1,2] Although the hip joint is the 2nd most common joint to be affected, surgical procedures are not commonly performed for adult patients with septic hip arthritis. [3–7] The study populations of primary septic hip arthritis often consist of small cohorts.…”