Late Sequelae of Septic Arthritis of the Hip in Infancy and Childhood

Rr, Betz; Dr, Cooperman; Jm, Wopperer; Rd, Sutherland; Jj, White; Hw, Schaaf; Mr, Aschliman; Ih, Choi; Bowen,; Gillespie, Robert J.

doi:10.1097/01241398-199005000-00014

Cited by 108 publications

(49 citation statements)

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“…Most authors agree that neonates and infants are more likely to have unsatisfactory results than children older than three years of age [12,[14][15][16][17][18][19]. Other authors did not show any significant difference in the outcome between younger and older age groups especially if the disease was treated early [13,20].…”

Section: Methodsmentioning

confidence: 89%

“…Children were followed up in the out-patient clinic for a mean period of 23 months (range 14-39) in the arthrotomy group and for a mean period of 21.7 months (range [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] in the arthroscopy group.…”

Section: Resultsmentioning

confidence: 99%

“…The lower age limit for the children to be included in the study was set to be three years to exclude any effect of patient's age on the final outcome [12][13][14][15][16][17][18][19][20]. Most authors agree that neonates and infants are more likely to have unsatisfactory results than children older than three years of age [12,[14][15][16][17][18][19].…”

Section: Methodsmentioning

confidence: 99%

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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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Section: Methodsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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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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“…По данным Betz et al, у детей, перенесших септический коксит в первые три месяца, реконструктивные операции ухудшают состояние пациентов, так как приводят к фор-мированию тугоподвижных болезненных суста-вов [15]. В связи с этим авторы рекомендуют воздерживаться от каких-либо оперативных вме-шательств, за исключением эпифизиодеза и уд-линения конечности [5,[14][15][16][17].…”

Section: Discussionunclassified

Reconstruction of the hip joint in children after septic coxitis

Teplenky

Oleinikov

Бунов

2016

Pediatr Traum Orthop Reconstr Surg

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Background.Surgical treatment of destructive dislocations is problematic, and controversial. Treatment options range from active monitoring to complex multistage reconstruction protocols.Materials and methods.The results of treatment of 17 children with disruptive dislocation of the hip (class IV according to the Choi classification) are presented. The mean age at which treatment was started was 6.3 ± 0.5 years (range: 3-9 years). Treatment strategies included formation of the weight-bearing contact of the proximal femur and acetabulum and ilium osteotomy using an Ilizarov frame. The follow-up period lasted from 2 to 11 years. Clinical results were assessed using Colton’s criteria. Assessment of the radiology findings included the anatomy relations and congruence of the articular surfaces. The patients were divided into two groups, according to age, for data analysis.Results.The majority (88%) of the children had positive anatomical and functional outcomes. The functional results were good (12-15 points), satisfactory (9-11 points), and unsatisfactory (8 points) for 3, 5, and 1, respectively, among 3-6 year olds and 2, 6, and 0, respectively, among 7-9 year olds. The distribution of joint congruence types I, III, and IV was 2, 4, and 3, respectively, in the younger group and 1, 6, and 1, respectively, in the older group.Conclusion.The use of reconstructive surgery using the Ilizarov apparatus in children with a defect of the proximal femur creates conditions for the adaptation of incongruent articular components without causing decompensation of the joint.

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“…They can range from nonoperative treatments [5,6] to extensive femoral and pelvic surgeries [7][8][9][10], both with the goal of having a stable, mobile, and painless joint as a desirable result.…”

Section: Introductionmentioning

confidence: 99%

Greater trochanteric preserving hip arthroplasty in the treatment of infantile septic arthritis: Long-term results

Abrishami

Karami

Karimi

et al. 2010

Journal of Children's Orthopaedics

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Background Balanced forces around the hip joint are critical for normal development of the hip joint, so it should be considered in every hip reconstructive procedure. Methods In seven children with complete destruction of the femoral head and neck due to septic arthritis, a reconstructive hip surgery was done to reconstruct the femoral head without sacrificing the greater trochanter and its muscles completely. The technique consists of a modified greater trochanter arthroplasty with only a medial portion of the greater trochanter and a varus femoral osteotomy.Results The average age of the children at surgery was 17 months (range 8-36 months) and the patients were followed for an average of 16.6 years (range 10.9-20.1 years). The average number of second operative procedures for each patient was 2 (range 1-4). The followup evaluation for each patient included documentation of pain, hip range of motion, and assessment of gait. In addition, the current leg-length discrepancy, final coverage and stability of the hip joint were documented. At final evaluation, all patients had a pain-free stable hip and two patients had near-normal hip range of motion. All patients have had satisfactory surgery results. Conclusions By this kind of hip reconstruction, we could provide a stable painless hip joint with special attention to the greater trochanter's role on hip biomechanics.

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Late Sequelae of Septic Arthritis of the Hip in Infancy and Childhood

Cited by 108 publications

References 0 publications

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

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

Reconstruction of the hip joint in children after septic coxitis

Greater trochanteric preserving hip arthroplasty in the treatment of infantile septic arthritis: Long-term results

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