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Foreword

Volume 6 | Issue 2 | May-August 2020 | Page: 1 | Dhiren Ganjwala Authors : Dhiren Ganjwala [1] [1] Ganjwala Orthopedic Hospital, 302, Anshi Avenue, Polytechnic, Ahmedabad 380015, Gujarat, India. Address of Correspondence Dr. Dhiren Ganjwala, Director, Ganjwala Orthopedic Hospital 302, Anshi Avenue, Polytechnic, Ahmedabad, Gujarat, India. E-mail: ganjwala@gmail.com Life is a learning process and […]

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: […]

Foreword

Current Concepts in The Management of Septic Hip Sequelae in Children

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Foreword

Volume 6 | Issue 2 | May-August 2020 | Page: 1 | Dhiren Ganjwala

Authors : Dhiren Ganjwala [1]

[1] Ganjwala Orthopedic Hospital, 302, Anshi Avenue, Polytechnic, Ahmedabad 380015, Gujarat, India.

Address of Correspondence
Dr. Dhiren Ganjwala,
Director, Ganjwala Orthopedic Hospital
302, Anshi Avenue, Polytechnic, Ahmedabad, Gujarat, India.
E-mail: ganjwala@gmail.com

Life is a learning process and learning is a lifelong process. This is true for professionals in any field as knowledge expands rapidly and it is difficult to keep pace with it. Paediatric Orthopaedic Society of India (POSI) has hosted a variety of educational activities in the field of paediatric orthopaedics to support our one common aim: improving the quality of patient care. International Journal of Paediatric Orthopaedics (IJPO), the official journal of POSI is an important tool to serve this purpose. I wish that the knowledge circulated by IJPO will improve the quality of care offered to children not only in India but around the world. I congratulate Dr. Jayanth Sampath, the current editor of IJPO, for the hard work and untiring efforts to make this possible. I also thank the editorial board members for their dedication and devotion to bring out such an informative inaugural issue. It is a matter of pride that the contributors to this issue are from different countries across 3 continents. I wish IJPO every success in its mission to disseminate knowledge for better treatment to children suffering from musculoskeletal problems.

Dhiren Ganjwala
The President, POSI

How to Cite this Article: Ganjwala D | Foreword | International Journal of Paediatric Orthopaedics | May-August 2020; 6(2): 01.

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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.

References

1. Fabry G, Meire E. Septic arthritis of the hip in children: poor results after late and inadequate treatment. J Pediatr Orthop. 1983;3:461-466.
2. Vidigal Júnior EC, Vidigal EC, Fernandes JL. Avascular necrosis as a complication of septic arthritis of the hip in children. Int Orthop. 1997;21:389-392.
3. Johari AN, Hampannavar A, Johari RA, Dhawale AA. Coxa vara in post septic arthritis of the hip in children. J Pediatr Orthop B. 2017;26:313-319.
4. Nunn TR, Cheung WY, Rollinson PD. A prospective study of pyogenic sepsis of the hip in childhood. J Bone Joint Surg Br. 2007;89:100-106.
5. Betz RR, Cooperman DR, Wopperer JM, Sutherland RD, White JJ Jr, Schaaf HW, Aschliman MR, Choi IH, Bowen JR, Gillespie R. Late sequelae of septic arthritis of the hip in infancy and childhood. J Pediatr Orthop. 1990;10:365-372.
6. Choi IH, Pizzutillo PD, Bowen JR, Dragann R, Malhis T. Sequelae and reconstruction after septic arthritis of the hip in infants. J Bone Joint Surg Am. 1990;72:1150-1650.
7. Hunka L, Said SE, MacKenzie DA, Rogala EJ, Cruess RL. Classification and surgical management of severe sequelae of septic hips in children. Clin Orthop Relat Res. 1982;171:30-36.
8. Forlin E, Milani C. Sequelae of septic arthritis of the hip in children: a new classification and a review of 41 hips. J Pediatr Orthop. 2008;28:524-528.
9. Wada A, Fujii T, Takamura K, Yanagida H, Urano N, Surijamorn P. Operative reconstruction of the sever sequelae of infantile septic arthritis of the hip. J Pediatr Orthop. 2007;27:910-914.
10. Manzotti A, Rovetta L, Pullen C, Catagni MA. Treatment of the late sequelae of septic arthritis of the hip. Clin Orthop Relat Res. 2003;410:203-212.
11. Choi IH, Shin YW, Chung CY, Cho TJ, Yoo WJ, Lee DY. Surgical treatment of the severe sequelae of infantile septic arthritis of the hip. Clin Orthop Relat Res. 2005;434:102-109.
12. Li XD, Chen B, Fan J, Zheng CY, Liu DX, Wang H, Xia X, Ji SJ, Du SX. Evaluation of the modified Albee arthroplasty for femoral head loss secondary to septic arthritis in young children. J Bone Joint Surg Am. 2010;92:1370-1380.
13. Johari AN, Dhawale AA, Johari RA. Management of post septic hip dislocations when the capital femoral epiphysis is present. J Pediatr Orthop B. 2011;20:413-421.
14. Kanojia RK, Gupta S, Kumar A, Reddy BK. Closed reduction, osteotomy, and fibular graft are effective in treating pediatric femoral neck pseudarthrosis after infection. Clin Orthop Relat Res. 2018;476:1479-1490.
15. Agarwal A, Aggarwal AN. Sequelae of septic hip and it’s reconstruction. In: Agarwal A, Aggarwal AN, editors. Pediatric osteoarticular infections. Delhi: Jaypee; 2014. p. 75-92.
16. Choi IH, Yoo WJ, Cho TJ, Chung CY. Operative reconstruction for septic arthritis of the hip. Orthop Clin North Am. 2006;37:173-83.
17. Rastogi P, Agarwal A. Management of post septic sequelae of hips with dislocation in children. Int Orthop. 2020. doi: 10.1007/s00264-020-04743-2.
18. Albee FH. Arthroplasty of the hip and preservation of its stability. Ann Surg. 1935;102:108-114.
19. L’Episcopo JB. Stabilization of pathological dislocation of the hip in children. J Bone Joint Surg. 1936;18:737-742.
20. Harmon PH. Surgical treatment of residual deformity from suppurative arthritis of hip occurring in young children. J Bone Joint Surg Am. 1942;24:576-585.
21. Colonna PC. A new type of reconstruction operation for old ununited fractures of the neck of the femur. J Bone Joint Surg. 1935;17:110-122.
22. Cheng JC, Aguilar J, Leung PC. Hip reconstruction for femoral head loss from septic arthritis in children. A preliminary report. Clin Orthop Relat Res. 1995;314:214-224.
23. Freeland AE, Sullivan DJ, Westin GW. Greater trochanteric hip arthroplasty in children with loss of the femoral head. J Bone Joint Surg Am. 1980;62:1351-1361.
24. Pafilas D, Nayagam S. The pelvic support osteotomy: indications and preoperative planning. Strategies Trauma Limb Reconstr. 2008;3:83-92.
25 Lunseth PA, Heiple KG. Prognosis in septic arthritis of the hip in children. Clin Orthop Relat Res. 1979;139:81-85.
26. Lee SC, Shim JS, Seo SW, Lee SS. Prognostic factors of septic arthritis of hip in infants and neonates: minimum 5-year follow-up. Clin Orthop Surg. 2015;7:110-119.

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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Foreword

Current Concepts in The Management of Septic Hip Sequelae in Children

Foreword

Current Concepts in The Management of Septic Hip Sequelae in Children

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Foreword

Authors : Dhiren Ganjwala [1]

(Abstract) (Full Text HTML) (Download PDF)

Current Concepts in The Management of Septic Hip Sequelae in Children

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

Abstract

References

(Abstract) (Full Text HTML) (Download PDF)

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