Septic Arthritis of the Hip in Children Over One Year Old.

概要

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Seven cases of septic arthritis of the hip in children over one year old were examined at the average follow-up period of 3.4 years. Arthrotomy was performed on six patients after diagnosis had been established by joint aspiration. Five patients who were treated within 9 days from the onset of symptoms had excellent or good results. One patient with whom arthrotomy was performed 13 days from the onset, had fair results with radiological evidence of the osteonecrosis of the femoral head. One patient with whom neither arthrotomy nor aspiration had been performed, also had limited movement of the hip joint with the osteonecrosis of the femoral head.We recommend immediate diagnostic joint aspiration for all cases with suspected septic arthritis of the hip joint, and emergency arthrotomy should be performed as soon as septic arthritis is diagnosed