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- W2169305294 abstract "Septic arthritis of the hip is an orthopaedic emergency which, treated late or inadequately, can have devastating consequences for the developing hip joint. The invading organism, most commonly Staphylococcus aureus, usually spreads from either an adjacent area of osteomyelitis or by haematogenous seeding. The hip is typically held abducted, flexed and externally rotated. The child may be limping, with a pyrexia and raised erythrocyte sedimentation rate. If the diagnosis is doubtful, urgent ultrasound and aspiration can be helpful. The mainstay of treatment remains arthrotomy and antibiotic administration. The majority of children over 2 years recover well, but there is a poorer prognosis in infants and with a delay in treatment. Infants may need later reconstruction, which is aimed at maintaining a stable hip with the head centrally located in the developing acetabulum. If the head and neck are destroyed, trochanteric arthroplasty may produce more favourable results than leaving the hip dislocated." @default.
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- W2169305294 date "2003-12-01" @default.
- W2169305294 modified "2023-10-18" @default.
- W2169305294 title "Septic arthritis of the hip in the infant and young child" @default.
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- W2169305294 doi "https://doi.org/10.1016/s0268-0890(03)00112-9" @default.
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