Abstract
The initial damage to the joint in septic arthritis occurs from local products liberated by the bacteria and the host’s inflammatory response. The sequelae can result in considerable disability especially when the infection occurs in a weight-bearing joint such as the hip. Treatment must be individualized and depends on whether stability or motion is the goal, as well as the resources and expertise available. While a stable and painless joint may be the goal for some joints (ankle, wrist, or knee), treatments that preserve motion are more desirable at the hip and elbow. In austere environments, salvage, rather than reconstruction, may be the better option as irreversible changes in the joint and surrounding tissues are common due to delays in presentation or complications of previous treatments that are difficult to predict and correct.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Forlin E, Milani C. Sequelae of septic arthritis of the hip in children: a new classification and a review of 41 hips. J Pediatr Orthop. 2008;28:524–8.
El-Tayeby HM. Osteochondroplasty of the femoral head in hip reconstruction for type II late sequelae of septic arthritis: a preliminary report. J Child Orthop. 2008;2:431–41. (Open Access).
Johari AN, Dhawale AA, Johari RA. Management of post septic hip dislocations when the capital femoral epiphysis is present. J Pediatr Orthop B. 2011;20:413–21.
Choi IH, Yoo WJ, Cho TJ, Chung CY. Operative reconstruction for septic arthritis of the hip. Orthop Clin N Am. 2006;37:173–83.
Li XD, Chen B, Luo SW, Ji SJ, Du SX. Evaluation of the modified Albee arthroplasty for femoral head loss secondary to septic arthritis in young children: surgical technique. J Bone Joint Surg Am. 2011;93(Suppl 1):54–61.
Paley D. Principles of deformity correction. New York: Springer; 2002. p. 689–90.
Suggested Reading
Abrishami S, Karami M, Karimi A, Soufali AP, Aslani HR, Badizadeh K. Greater trochanteric preserving hip arthroplasty in the treatment of infantile septic arthritis: long-term results. J Child Orthop. 2010;4:137–41. (Open Access).
Inan M, Bowen RJ. A pelvic support osteotomy and femoral lengthening with monolateral fixator. Clin Orthop Relat Res. 2005;440:192–8.
Pafilas D, Nayagam S. The pelvic support osteotomy: indications and preoperative planning. Strateg Trauma Limb Reconstr. 2008;3:83–92. (Open Access).
Rozbruch SR, Paley D, Bhave A, Herzenberg JE. Ilizarov hip reconstruction for the late sequelae of infantile hip infection. J Bone Joint Surg Am. 2005;87A:1007–18.
Wada A, Fujii T, Takamura K, Yanagida H, Urano N, Surijamorn P. Operative reconstruction of the severe sequelae of infantile septic arthritis of the hip. J Pediatr Orthop. 2007;27:910–4.
Wang EB, Ji SJ, Zhao Q, Zhang LJ. Treatment of severe sequelae of infantile hip sepsis with trochanteric arthroplasty. J Pediatr Orthop. 2007;27:165–70.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Spiegel, D.A., Banskota, A.K., Banskota, B. (2020). Neglected Septic Arthritis in Children. In: Gosselin, R., Spiegel, D., Foltz, M. (eds) Global Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-030-13290-3_30
Download citation
DOI: https://doi.org/10.1007/978-3-030-13290-3_30
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-13289-7
Online ISBN: 978-3-030-13290-3
eBook Packages: MedicineMedicine (R0)