Arthroscopic Treatment of Septic Arthritis of the Hip

Kim, Sung-Jae; Choi, Nam-Hong; Ko, Sun-Young; Linton, John A.; Park, Hui-Wan

doi:10.1097/00003086-200302000-00030

Cited by 86 publications

(44 citation statements)

References 14 publications

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“…However, it has not been reported extensively despite its minimally invasive nature [4,[7][8][9][10]28]. Hip arthroscopy is a technically demanding procedure in children.…”

Section: Discussionmentioning

confidence: 99%

Treatment of early septic arthritis of the hip in children: Comparison of results of open arthrotomy versus arthroscopic drainage

El-Sayed

2008

Journal of Children's Orthopaedics

122

103

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Purpose The goal of this study was to compare results of open arthrotomy versus arthroscopic drainage in treating septic arthritis of the hip in children. Methods This prospective controlled study was conducted on twenty patients (20 hips) with acute septic arthritis of the hip. Diagnosis was suspected if there was: a history of fever, non-weight-bearing on the affected limb, erythrocyte sedimentation rate (ESR) of at least 40 mm/h, and white blood cell count of more than 12,000 cells per cubic millimeter. Diagnosis was established by ultrasonographic examination of the affected hip followed by ultrasound-guided aspiration of the joint. Patients were allocated to have either open arthrotomy or arthroscopic drainage of the joint. There were ten patients (ten hips) in each treatment group. The mean age of the patients was 7.3 years in the arthrotomy group, and 8 years in the arthroscopy group. The mean temperatures for the arthrotomy and arthroscopy groups were 38.8 and 38.7°C, respectively. All the children were unable to bear weight on the affected limb.Results Staphylococcus aureus was the most common causative microorganism in both groups. The mean duration of the children's hospital stay was 6.4 days in the arthrotomy group and 3.8 days in the arthroscopy group. The difference was highly significant. Infection could be eradicated in all patients of both groups. At the latest follow-up, seven children in the arthrotomy group (70%) had excellent results and three children (30%) had good results. In the arthroscopy group, nine children (90%) had excellent results and one child (10%) had good results. The difference was not statistically significant. Conclusions Arthroscopic drainage is an effective method in treating septic arthritis of the hip. It is a minimal invasive procedure which is associated with less hospital stay. Arthroscopic drainage of septic arthritis of the hip in children is a valid alternative procedure in early uncomplicated cases and for orthopedic surgeons skilled in pediatric arthroscopy.

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“…However, it has not been reported extensively despite its minimally invasive nature [4,[7][8][9][10]28]. Hip arthroscopy is a technically demanding procedure in children.…”

Section: Discussionmentioning

confidence: 99%

Treatment of early septic arthritis of the hip in children: Comparison of results of open arthrotomy versus arthroscopic drainage

El-Sayed

2008

Journal of Children's Orthopaedics

122

103

View full text Add to dashboard Cite

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“…Auch Kim [13] stellte sehr gute Ergebnisse ohne Komplikationen bei 8 Kindern zwischen 2 und 14 Jahren vor. Nusem [17] berichtete über 6 Kinder im Alter von 8 bis 13 Jahren mit einer septischen Koxitis, die erfolgreich ohne Komplikationen mit einer schnellen Rekonvaleszenz arthroskopisch gespült wurden.…”

Section: Arthroscopic Therapy Of Septic Hip Infections In Childhood Aunclassified

“…Bei 22 Kindern fanden sich im Harris Hip Score hervorragende Ergebnisse, ein Kind zeigte ein mäßiges Ergebnis.Zur Anzahl der notwendigen Portale im Rahmen der Hüftgelenksarthro-skopie werden unterschiedliche Meinungen vertreten. Berichtet wurde über 1-, 2-oder 3-Portal-Techniken[4,6,13,17]. Wir sind der Auffassung, dass mit der 2-Portal-Technik in Kombination mit der 70°-Optik eine sehr gute Übersicht über das periphere Kompartiment gewonnen bzw.…”

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Arthroskopische Therapie des septischen Hüftgelenksinfekts im Kindesalter

Fernández

Langendörfer

Wirth

et al. 2014

Oper Orthop Traumatol

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The two portal hip joint arthroscopy using an irrigation volume of 6-9 l is an efficient minimally invasive method to safely treat septic arthritis of the hip joint with or without concomitant femoral neck osteomyelitis. It is associated with low morbidity and offers all advantages of an arthroscopic procedure. Out of 23 children 19 could be sufficiently treated by a single arthroscopic lavage of the hip joint. In three patients an additional osseous component required a second intervention. Out of 23 children 22 achieved an excellent Harris hip score, with one girl only achieving a moderate outcome. The 22 children had an unrestricted hip function at follow-up and could return fully to previous activity levels.

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“…[6][7][8][9][10][11][12][13] The advantages of hip arthroscopic procedure are minimally invasiveness, minimal injury to soft tissue with lesser blood loss and lesser rehabilitation period as compared to the open procedure. It does not have disadvantages of the open procedure, which sometimes require dislocation of the hip …”

Section: -5mentioning

confidence: 99%