Acute septic arthritis of the hip in children |
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Authors: | Chen C E Ko J Y Li C C Wang C J |
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Affiliation: | (1) Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Kaohsiung Medical Center, 123, Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien 83305, Taiwan, ROC e-mail: lee415@adm.cgmh.org.tw, Tel.: +886-7-7317123, Fax: +886-7-7317123, ext. 8004, TW;(2) Division of Pediatric Infection, Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan, ROC, TW |
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Abstract: | Thirty-three cases of acute septic arthritis of the hip in children were treated at our hospital from 1986 to 1997. The average follow-up period was 6 years (range 2–¶11 years). In 17 cases the right hip was affected, and in 16 the left hip. The average duration of symptoms was 5 days (range 1–14 days). Microorganisms were isolated from the blood, joint aspirate, or surgical specimens in 25 cases (76%). Staphylococcus aureus was the most common bacteria found (44%). Those patients with S. aureus infection were older than 1 year of age. There was no significant difference in the final outcome between the younger and the older age groups. Twenty-six out of 33 patients (89%) had a satisfactory outcome. Satisfactory results can also be expected with arthrocentesis and medical treatment if the diagnosis is made early, and antibiotic treatment affords a good clinical response. Four out of 7 cases with an unsatisfactory result were associated with osteomyelitis of the proximal femur. The two most important factors associated with poor results included a delay of definite treatment lasting longer than 5 days and the presence of osteomyelitis of the proximal femur. |
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Keywords: | Septic arthritis Hip Children |
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