[Hip arthrodeses for septic arthritis. Critical study].
Twenty-eight cases of septic arthritis of the hip were treated by arthrodesis and reviewed after 2 years. Fusion of the hip was obtained in only 11 cases, four of which were still draining but healed after removal of metallic devices and curettage. Five cases had an acceptable result without drainage despite incomplete fusion. Of the 12 remaining cases, 3 were lost to follow-up and 9 had to be operated on again. Four became fused and dry, 4 were still mobile but dry and the last was a complete failure, being both mobile and draining. One case of dry incomplete fusion was successfully treated by a total prosthesis. These results show that fusion is difficult to obtain and that it is neither a necessary nor an adequate means of obtaining a good result in infection. The possibility of preserving the joint motion should be discussed.
D000328:Adult; D000368:Aged; D001170:Arthritis, Infectious / Q000209:etiology / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods*; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation
Les arthrodèses de hanche pour arthrite septique. Etude critique.