Neglected Septic Arthritis in Children

  • David A. SpiegelEmail author
  • Ashok Kumar Banskota
  • Bibek Banskota


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.


  1. 1.
    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.CrossRefGoogle Scholar
  2. 3.
    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).CrossRefGoogle Scholar
  3. 2.
    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.CrossRefGoogle Scholar
  4. 4.
    Choi IH, Yoo WJ, Cho TJ, Chung CY. Operative reconstruction for septic arthritis of the hip. Orthop Clin N Am. 2006;37:173–83.CrossRefGoogle Scholar
  5. 5.
    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.CrossRefGoogle Scholar
  6. 6.
    Paley D. Principles of deformity correction. New York: Springer; 2002. p. 689–90.CrossRefGoogle Scholar

Suggested Reading

  1. 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).CrossRefGoogle Scholar
  2. Inan M, Bowen RJ. A pelvic support osteotomy and femoral lengthening with monolateral fixator. Clin Orthop Relat Res. 2005;440:192–8.CrossRefGoogle Scholar
  3. Pafilas D, Nayagam S. The pelvic support osteotomy: indications and preoperative planning. Strateg Trauma Limb Reconstr. 2008;3:83–92. (Open Access).CrossRefGoogle Scholar
  4. 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.CrossRefGoogle Scholar
  5. 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.CrossRefGoogle Scholar
  6. 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.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • David A. Spiegel
    • 1
    • 2
    Email author
  • Ashok Kumar Banskota
    • 3
    • 4
  • Bibek Banskota
    • 3
    • 4
  1. 1.Division of Orthopedic Surgery, Children’s Hospital of PhiladelphiaUniversity of Pennsylvania School of MedicinePhiladelphiaUSA
  2. 2.Hospital and Rehabilitation Centre for Disabled Children (HRDC)BanepaNepal
  3. 3.Department of Orthopedic SurgeryB&B HospitalKathmanduNepal
  4. 4.Department of Orthopedic SurgeryThe Hospital and Rehabilitation Center for Disabled Children (HRDC)BanepaNepal

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