Surgical Management of Sequelae Caused by Septic Hip Arthritis in Children

Maxim, Andrei

doi:10.26717/bjstr.2019.16.002847

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…Based on the preoperative imaging results in this case, the removal of the pathological femoral head could have been performed earlier, although the primary lesion was not determined. In preoperative planning to remove osseous lesions, 3D reconstruction of CTs has been used, as previously described ( 16 ). Additionally, for the preoperative planning of arthrotomy, contrast-enhanced 3D-CT may provide a useful vertical intra-articular view if arthrography is combined with CT ( 11 ).…”

Section: Discussionmentioning

confidence: 99%

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Case report: Imaging of septic arthritis in the hip joint of a calf treated with femoral head ostectomy

Tsuka,

Okamoto,

Nishiyama

et al. 2024

Front. Vet. Sci.

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A 24-day-old male Japanese Black calf presented with weight-bearing lameness in the left hind limb and a swollen pelvis. Ultrasonography revealed the accumulation of fluidity materials with a mixture of hyper- and hypo-echogenicity, enclosed by 5–10-mm-thick capsular structures. On the ventral-dorsal radiograph of the pelvis, irregular and radiolucent osseous changes were evident in the femoral head and acetabulum within the swollen hip joint, with soft-tissue density. Computed tomography (CT) confirmed the relationship between the bony and soft tissue lesions, which was suspected following ultrasonography and radiography, and provided additional findings, such as intra-articular accumulation of gas and the degree of osteolytic changes. Based on the imaging findings and cytology of the arthrocentesis specimen, the patient was diagnosed with hip arthritis and osteomyelitis of the femoral head. Additionally, the severity of the lesions supported our decision to perform a femoral head ostectomy. The postoperative radiographic and CT findings of the treated pelvis were helpful in evaluating the efficacy of this technique. Following treatment, the animal could walk and showed normal development, although it was three postoperative months before weight-bearing lameness improved. To the best of our knowledge, this is the first report to describe the combined use of ultrasonography, radiography, and CT in the diagnosis, preoperative planning, and evaluation of the postoperative effects of bovine hip arthritis. Additionally, this report details the therapeutic efficacy of femoral head ostectomy for bovine hip arthritis, a technique that has not been reported previously.

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Section: Discussionmentioning

confidence: 99%

“…Pelvic CT has been used for the morphometric evaluation of specimens from slaughtered cattle ( 14 ). However, to our knowledge, there have been no reports describing the CT evaluation of bovine hip arthritis despite the high diagnostic efficacy of CT in human medicine ( 15 , 16 ).…”

Section: Introductionmentioning

confidence: 99%

Case report: Imaging of septic arthritis in the hip joint of a calf treated with femoral head ostectomy

Tsuka,

Okamoto,

Nishiyama

et al. 2024

Front. Vet. Sci.

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Hip arthroplasty using the cartilaginous part of the greater trochanter in the treatment of the sequelae of epiphysal osteomyelitis in children

Белокрылов

Polyakova

Belokrylov

et al. 2022

Pediatr Traum Orthop Reconstr Surg

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BACKGROUND: Alternative methods of hip arthroplasty as a result of the complete destruction of the epiphysis and femoral neck using the preserved part of the apophysis of this segment are not widely reported, which may be useful for specialists who are faced with the choice of providing such assistance. AIM: To present the long-term results of treating children with the hip joint reconstruction method developed in the clinic using trochanteric arthroplasty by utilizing the intact cartilaginous part of the greater trochanter apophysis for the treatment of defects resulting from osteolysis of the femoral head and neck after epiphyseal osteomyelitis. MATERIALS AND METHODS: The results of the surgical treatment of seven children (two of them had a bilateral process) who underwent reconstruction of nine hip joints according to the proposed method were analyzed. The procedures were performed at the age of 210 years. The intervention involved the surgical preparation of the acetabulum with repositioning of the greater trochanter after proximal angulation osteotomy of the hip at the metadiaphyseal level. In four patients with a unilateral process, Salter innominate osteotomy was additionally performed in one or two stages. In five patients with a unilateral process with further growth, limb lengthening was performed. The efficiency index was evaluated using both anatomical and functional results. In a bilateral process, the assessment considered the function of the worst operated joints. RESULTS: In six children, good and, in one child with a bilateral process, satisfactory long-term clinical and functional results were obtained (assessed 1020 years after the first reconstructive surgery). All of them had restored limb support without pain, with a sufficient range of motion. The method was organ-preserving, which enabled an opportunity for walking, and an anatomically favorable situation for further arthroplasty has been created, the timing of which has been postponed to a mature period. CONCLUSIONS: The method developed in the clinic for the surgical use of the greater trochanter for the reconstruction of the hip joint after infectious osteolysis of the head and neck of the femur is effective, allowing for a long time to maintain leg support using the patients tissues.

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Surgical Management of Sequelae Caused by Septic Hip Arthritis in Children

Cited by 2 publications

References 12 publications

Case report: Imaging of septic arthritis in the hip joint of a calf treated with femoral head ostectomy

Case report: Imaging of septic arthritis in the hip joint of a calf treated with femoral head ostectomy

Hip arthroplasty using the cartilaginous part of the greater trochanter in the treatment of the sequelae of epiphysal osteomyelitis in children

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