The Pelvic Support Osteotomy After Type IVA Septic Arthritis of the Hip

Abstract

Introduction:A misdiagnose and inadequate treatment of neonatal septic arthritis of the hip has multiple sequelae and causes a severe disability. The aim of this study is evaluation of treatment of residual deformity after type IVA neonatal septic arthritis of the hip by Pelvic support osteotomy.Case presentation:A 11-year-old, white girl, was treated surgically by pelvic support osteotomy. The patient underwent two surgical interventions. The first operation consists in lengthening of the left femur for 6 cm with monolateral lengthening external fixation device. The second operation consists in pelvic support osteotomy of the left femur and lengthening for 4 cm. The limb was well aligned after healing, with the axis aligned under the medial wall of the acetabulum.Conclusion:Pelvic support osteotomy can successfully correct a Trendelenburg-Duchenne gait and simultaneously restore knee alignment and correct lower-extremity length discrepancy.

Intraoperative Goal-Directed Therapies in Femoral and Pelvic Osteotomies In Children and In-Hospital Postoperative Outcome

“…This functional surgery aims to improve quality of life in these fragile patients in terms of pain, postural discomfort that can be observed in hip displacement, in terms of limb fractures and other inconveniences which can impact on daily quality of life in terms of positioning and nursing (3,4). Femoral and pelvic osteotomies are also performed in patients who have sequelae of infantile or juvenile hip septic arthritis and patients with congenital hip dislocation (5,6,7).…”