[Septic arthritis in newborns and infants. Treatment of hip arthritis].
Results of treatment of 83 septic hip joints in 75 newborns and infants have been presented. Mean age at the onset of symptoms was 41 days (from 1 to 330 days), mean follow-up was 72 months (from 12 to 252). In 26 cases systemic antibiotics were administered. Single joint puncture was done in 7 cases, in 23 patients multiple puncture and intraarticular antibiotic therapy were employed, arthrotomy and drainage of the joint was performed in 27 joints. Radiographic results achieved, according to Hunk classification were as follows: Type I-26 joints, Type IIA-6 joints, Type IIB-18 joints, Type III-5 joints, Type IVA-7 joints, type IVB-8 joints, Type V13 joints. The authors conclude, that in majority of cases the treatment of choice should include arthrotomy from antero-lateral approach, suction drainage for 24-48 hours, systemic intravenous antibiotic therapy, abduction position of extremity in Frejka pillow and early physiotherapy.
Lejman
T
T
Oddziału Ortopedyczno-rehabilitacyjnego Kliniki Chirurgii Dzieciecej Polsko-Amerykańskiego Instytutu Pediatrii, Krakowie.
Strong
M
M
Michno
P
P
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000145:classification / Q000628:therapy*; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007270:Injections, Intra-Articular; D008297:Male; D026741:Physical Therapy Modalities
D000900:Anti-Bacterial Agents
Ropne zapalenia stawów u noworodków i niemowlat Leczenie zapaleń stawu biodrowego.