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Revista Mexicana de Ortopedia Pediátrica

ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica
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1997, Number 1

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Rev Mex Ortop Ped 1997; 1 (1)

Secuelas de artritis séptica de cadera en niños

Cassis N, Yáñez A, Hedrosa J
Full text How to cite this article

Language: Spanish
References: 9
Page: 13-18
PDF size: 1078.77 Kb.


Key words:

Sequelae, Septic Arthritis, Hip, Children.

ABSTRACT

We report a retrospective study of patients with diagnosis of Septic Arthritis of the hip (SAH). Long term results of 36 patients with 45 hips affected in a period of 11 years (1980-1991) with an average follow-up of 5 years.
The purpose of the study is to evaluate the late effects of Septic Arthritis of the Hip in children, as well as the most adequate treatment to each case according to the radiologic condition of the coxofemoral joint.
We based our study in the Hunka's classification to identify the degree of deformity of the hip and decide the best therapeutic option according to our experience.
The criteria for evaluation of results were: the anatomic and radiologic deformity, pain, range of motion, type of gait and leg length discrepancy.
Based on the above data we achieved the following results: GOOD: 22 hips, FAIR: 13 hips, and POOR: 10 hips.
Therapeutic criteria can be standarized based on the radiologic condition of the hip.


REFERENCES

  1. Hunka, L. Classification and Surgical Management of the Severe Sequelae of Septic Hips in Children. Clin. Orthop. 171:30-36. 1982.

  2. Wopperer, J., White, J., Gillespie, R. Long Term Follow-up of Infantile Hip Sepsis. J. Pediatr. Orthop. 8:322-325. 1988.

  3. Fabry, M.E. Septic Arthritis of the Hip in Children: Poor Results After Late and Inadequate Treatment. J. Pediatr. Orthop. 4461-466. 1983.

  4. Hallel, T., Salvati, EA. Septic Arthitis of the Hip in Infancy. Clin. Orthop. 132115-28. 1978.

  5. Gillespie, R. Septic Arthritis of Childhood. Clin. Orthop. 96:153-9. 1973.

  6. Weissman, SL. Transplantation of the Trochanteric Epiphysis into the Acetabulum after Septic Arthritis of the Hip. J. Bone Joint Surg. A(AM) 49:1647-51. 1967.

  7. Eyre-Brook, AL. Septic Arthritis of the Hip and Osteomyelitis of the upper end of the Femur in Infants. J. Bone Joint Surg. (Br) 4211-20. 1960.

  8. Rigault, P., Lagrange, J., Pouliquen, JC.: La Trocanteroplastic. Rev. Chir. Orthop. 59:565-82. 1973.

  9. Betz, R., Cooperman, DR., Wooperer, J., Sutherland, R., White J. Jr. Late Sequelae of Septic Arthritis of the hip in Infancy and Childhood. J. Pediatr. Orthop. 10:365372. 1990.




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Rev Mex Ortop Ped. 1997;1