Septic arthritis of the hip in infancy: long-term follow-up.
At a mean 15-year follow-up, the authors evaluated five hips in five patients who had complete destruction of the femoral head and neck from septic arthritis when they were 3 months old. All patients were treated with a trochanteric arthroplasty in combination with a proximal femoral varus osteotomy at a mean age of 30 months in an attempt to salvage a femoral-pelvic articulation. Results suggest this treatment can provide a stable, painless, and functional hip, with an improved gait and less leg-length discrepancy than predicted if no reconstructive effort were attempted.
Dobbs
Matthew B
MB
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis Children's Hospital, 63110, USA. mattdobbs@earthlink.net
Sheridan
John J
JJ
Gordon
J Eric
JE
Corley
Carey L
CL
Szymanski
Deborah A
DA
Schoenecker
Perry L
PL
D001170:Arthritis, Infectious / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001178:Arthroplasty; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008137:Longitudinal Studies; D008297:Male; D010027:Osteotomy; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome