Tag Archive for: Sepsis; Hip; Sequelae; Choi classification.

Current Concepts in The Management of Septic Hip Sequelae in Children

Volume 6 | Issue 2 | May-August 2020 | Page: 39-47 | Shobhit Gupta, Anil Agarwal

Authors: Shobhit Gupta [1], Anil Agarwal [1]

[1] Department of Orthopedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.

Address of Correspondence
Dr. Anil Agarwal,
Department of Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India, 110031
E-mail: anilrachna@gmail.com

Abstract

Septic arthritis of the hip can have a serious impact on long term function. From minor changes to severe destruction of proximal femoral anatomy, the spectrum varies. The consequence is altered biomechanics of hip joint leading to pain, limp, instability, stiffness and gait abnormalities. Management of these sequelae has evolved over the years. Less severe sequelae are relatively easy to manage and have reasonably predictable results. Severe sequelae of septic hip, on the other hand pose a significant surgical challenge. Correction of limb length discrepancy, providing stable hips, and elimination of Trendelenburg gait with preservation of hip range of motion should be the main aims in the management of sequelae of the septic hip. Needless to say, even in this era of powerful antibiotics and advanced surgical techniques, early recognition of septic arthritis and timely intervention are of paramount importance in ensuring good long-term hip function.
Keywords: Sepsis; Hip; Sequelae; Choi classification.

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How to Cite this Article: Gupta S, Agarwal A | Current Concepts in The Management of Septic Hip Sequelae in Children| International Journal of Paediatric Orthopaedics | May-August 2020; 6(2): 39-47.

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