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Clin Orthop Surg. 2015 Mar;7(1):110-9. doi: 10.4055/cios.2015.7.1.110. Epub 2015 Feb 10.

Prognostic factors of septic arthritis of hip in infants and neonates: minimum 5-year follow-up.

Author information

1
Department of Orthopedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
2
Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

BACKGROUND:

The authors conducted the present study to identify clinical and radiological prognostic factors in infants and neonates with septic arthritis of the hip.

METHODS:

The authors retrospectively reviewed the records of 31 patients with septic arthritis of the hip. All of the patients were younger than 18 months old. Follow-up periods ranged from 5 to 17 years. The following potential variables for predicting the prognosis were included in the assessment: gender, age, underlying diseases, duration of symptoms, changes of hip joint in X-ray, concomitant osteomyelitis, elevation of erythrocyte sedimentation rate and C-reactive protein, sepsis, pus drainage, synovial fluid culture, and infecting organisms. Clinical and radiological prognoses were analyzed at the final follow-up.

RESULTS:

Univariate analysis demonstrated that radiological prognoses were poorer in patients who had underlying diseases, a longer duration of symptoms, and pus drainage. However, on multivariate analysis, only the variable-duration of symptoms-was found to be statistically related with a poor radiological prognosis.

CONCLUSIONS:

Although poor prognosis for patients with several underlying diseases and radiological changes has already been established, a favorable outcome might be expected with prompt surgical drainage and appropriate antibiotics.

KEYWORDS:

Hip; Infant; Neonate; Prognosis; Septic arthritis

PMID:
25729527
PMCID:
PMC4329523
DOI:
10.4055/cios.2015.7.1.110
[Indexed for MEDLINE]
Free PMC Article

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