title: Severe hip infection after a prophylactic contralateral fixation in slipped upper femoral epiphysis: a case report.
abstract: The rate of infection is extremely low after a prophylactic contralateral fixation in slipped upper femoral epiphysis, and exclusively involves superficial wound infection. We report an unusual case of hip infection after a prophylactic pinning with a single cannulated screw. The evolution was unfavorable, with necrosis and epiphysiolysis of the femoral head. A total hip arthroplasty was performed after 1 year of evolution.
authors.affiliation: Service de Chirurgie Orthopédique, HIA Laveran, Marseille, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Bertani
authors.forename: Franck
authors.initials: F
authors.lastname: Launay
authors.forename: Yann
authors.initials: Y
authors.lastname: Glard
authors.forename: Pierre
authors.initials: P
authors.lastname: Chrestian
authors.forename: Jean Luc
authors.initials: JL
authors.lastname: Jouve
authors.forename: Gérard
authors.initials: G
authors.lastname: Bollini
mesh_terms: D000293:Adolescent; D019644:Arthroplasty, Replacement, Hip; D001863:Bone Screws; D004839:Epiphyses, Slipped / Q000601:surgery*; D005270:Femur Head / Q000601:surgery*; D005271:Femur Head Necrosis / Q000209:etiology; D006621:Hip Joint / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D016268:Internal Fixators; D008297:Male; D009336:Necrosis; D011183:Postoperative Complications; D013290:Streptococcal Infections / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*