The treatment and prevention of pathological dislocation of the hip following septic arthritis in the newborns
- VernacularTitle:新生儿急性化脓性髋关节炎后遗病理性脱位的治疗与预防
- Author:
Mingxing PENG
;
Lijun LIU
;
Lingyan ZHANG
;
- Publication Type:Journal Article
- Keywords:
Hip joint;
Arthritis,infectious;
Hip dislocation;
Surgical procedures,operative;
Infant,newbo@
- From:
Chinese Journal of Orthopaedics
1996;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the results of the treatment and prevention measures for pathological dislocation of the hip following septic arthritis in the newborns. Methods Twenty cases undergone open reduction were studied restropectively. In addition, greater trochanterplasty was penformed in 15 cases, acetabularplasty in 14 cases, greater and lesser trochanterplasty in 2 cases. Rusults A successful rate of reduction achieved in 90％ of the patients; however, central reduction was achieved in only 38.8％ . 20 patients were followed-up for 6 months to 12 years. The stability and motility of the hip gradually improved in majority of the patients. The cases with severe destruction followed by absence of femoral head and neck had unsatisfactory results. Shortening deformity were found in six cases, and subluxation, dislocation, rigidity of the hip in one case each. Conclusion The greater trochanterplasty had a good result for reduction and maintaining the position. Early diagnosis and early open drainage were key measures for prevention of pathological dislocation of the hip resulting from the acute septic arthritis in the newborn.
