Septic arthritis of childhood.

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Septic arthritis has been decreasing gradually, but the bones and joints are often destructed, which affects the growth of these organs.In 9 years from July, 1979 to Aug., 1988 11 patients with juvenile septic arthritis (7 males and 4 females) have consulted our Department.Involved joints were as follows: 4 hip joints, 6 knee joints and 1 foot joint. Eight of these joints were hematogenous, 2 were trauma and 1 was iatrogenic.The causal bacteria was verified in the bacteria culture from joint fluid in 8 cases.All of these cases had staph. aureus, and in 1 case of the other three, staph. epidermidis was proved by intraoperative cultivation of synovial tissue.Four patients were treated by capsulectomy, 3 of them being accompanied with closed irrigation, and the other 7 patients were treated by puncture and drainage.
西日本整形・災害外科学会の論文