TY - JOUR
A2 - Korovessis, Panagiotis
AU - Schröder, Jörg Hartmut
AU - Krüger, David
AU - Perka, Carsten
AU - Hufeland, Martin
PY - 2016
DA - 2016/10/05
TI - Arthroscopic Treatment for Primary Septic Arthritis of the Hip in Adults
SP - 8713037
VL - 2016
AB - Purpose. Primary septic arthritis is a rare differential diagnosis of acute hip pain in adults. Inspired by the success of all-arthroscopic treatment in pediatric patients, we developed a diagnostic and surgical pathway for our adult patients. Methods. Seven patients, average age 44±13.7 years with acute hip pain since 4.4±2.9 days in the average, were included. Septic arthritis was confirmed by joint aspiration and dissemination was excluded by MRI and standard radiographs. Surgical treatment consisted of immediate arthroscopic lavage using 4 portals for debridement, high-volume irrigation, partial synovectomy, and drainage. Results. Patients were treated in hospital for 12.4±3.1 days (range 7–16 days). WBC and CRP returned to physiological levels. During the mean follow-up of 26.4±19.4 months (range 13–66 months) no patient showed recurrence of infection. The 5 patients with an unimpaired hip joint prior to the infection had a mean modified Harris Hip Score of 94±5.6 points (range 91–100) at final follow-up. Conclusions. Arthroscopic therapy using a minimally invasive approach with low perioperative morbidity for the treatment of primary septic arthritis of the adult hip is able to restore normal hip function in acute cases without dissemination of the infection. Level of Evidence. IV.
SN - 2090-3464
UR - https://doi.org/10.1155/2016/8713037
DO - 10.1155/2016/8713037
JF - Advances in Orthopedics
PB - Hindawi Publishing Corporation
KW -
ER -