TREATMENT OF SEPTIC ARTHRITIS OF THE HIP BY ARTHROSCOPIC LAVAGE

被引:86
作者
CHUNG, WK
SLATER, GL
BATES, EH
机构
[1] Department of Paediatric Orthopaedics, Prince of Wales Children Hospital, Randwick, NSW, Avoca St
关键词
ARTHROSCOPY; SEPTIC HIP;
D O I
10.1097/01241398-199307000-00005
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Since 1987, nine cases of septic arthritis of the hip joint in children were treated by arthroscopic lavage. The technique of arthroscopic hip examination is described. This treatment, when combined with standard medical therapy, was effective in ablating septic disease in all patients. No complications were attributable to the surgical procedure. We emphasize the value of large-bore, large-volume lavage, direct suction to remove joint debris, and postoperative suction drainage. The technique is an attractive alternative to arthrotomy and offers low surgical morbidity, effective joint cleansing, and early return of joint mobility.
引用
收藏
页码:444 / 446
页数:3
相关论文
共 11 条
[1]  
Angel K.R., Hall D.J., The role of arthroscopy in children and adolescents, Arthroscopy, 5, pp. 192-196, (1989)
[2]  
Gainor B.J., Installation of continuous tube irrigation in the septic knee at arthroscopy, a technique, Clin Orthop, 183, pp. 96-98, (1984)
[3]  
Goldenburg D.L., Brandt K.D., Cohen A.S., Cathcart E.S., Treatment of septic arthritis. Comparison of needle aspiration and surgery as initial modes of joint drainage, Arthritis Rheum, 18, (1975)
[4]  
Gross R.H., Arthroscopy in hip disorders in children, Orthop Rev, 6, pp. 43-49, (1977)
[5]  
Herndon W.A., Knauer S., Sullivan A., Gross R.H., Management of septic arthritis in children, J Pediatr Orthop, 6, (1986)
[6]  
Holgerrson S., Brattstrom H., Mogensen B., Lidgren L., Arthroscopy of the hip in juvenile chronic arthritis, J Pediatr Orthop, 1, pp. 273-278, (1981)
[7]  
Ivey M., Clark R., Arthroscopic debridement of the knee for septic arthritis, Clin Orthop, 199, pp. 201-205, (1985)
[8]  
Lane J.G., Falahee M.H., Wojtys E.M., Wankin F.M., Kaufer H., Pyarthrosis of the knee, Clin Orthop, 252, pp. 198-200, (1990)
[9]  
Skyhar M.J., Mubarak S.J., Arthroscopic treatment of septic knees in children, J Pediatr Orthop, 7, pp. 647-651, (1987)
[10]  
Thiery J.A., Arthroscopic drainage in septic arthritides of the knee. A multicentre study, Arthroscopy, 5, pp. 65-69, (1989)