Arthroscopy for hip septic arthritis in children
| Autor: | I. Sanpera, D. Raluy-Collado, J. Sanpera-Iglesias |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty 03 medical and health sciences Arthroscopy 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Child Therapeutic Irrigation Paediatric patients Retrospective Studies 030222 orthopedics Arthritis Infectious Medical treatment medicine.diagnostic_test business.industry Infant 030229 sport sciences Evidence-based medicine medicine.disease Surgery Anti-Bacterial Agents Radiological weapon Child Preschool Drainage Septic arthritis Female Hip Joint Hip arthroscopy Presentation (obstetrics) business |
| Zdroj: | Orthopaedics & Traumatology: Surgery & Research. 102(1):87-89 |
| ISSN: | 1877-0568 |
| DOI: | 10.1016/j.otsr.2015.10.008 |
| Popis: | Hip arthroscopy for treatment of septic arthritis in children has previously been reported with excellent short-term results. The purpose of this study was to evaluate the long-term results of hip arthroscopy for hip septic arthritis (HSA) in paediatric patients.Arthroscopy still is a useful tool in the treatment of HSA, and may be superior to simple hip aspiration.Twelve patients with a median age of 6 years, with community-acquired infections, were diagnosed as HSA. All of them were treated using arthroscopic drainage. The duration of symptoms at presentation were a median of 3,5 days (2-20). In the younger patients (8 years), hip joint distension was used instead of hip traction. At final check-up, the Hip Harris Score (HHS) was used and a radiographic study done.Two patients required a repeat arthroscopy. All, except for one patient, achieved excellent clinical results. Two patients presented radiological changes at the last check-up. The poor results were related to late presentation for medical treatment. There was no difference between early and late results.Hip arthroscopy for child HSA is a feasible technique even for the youngest patients, moreover the positive clinical results initially obtained are maintained over time.Level IV: retrospective series. |
| Databáze: | OpenAIRE |
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