To study epidemiological pattern and clinical and radiological parameters of recovery of septic arthritis in nfants and neonates admitted in B.R.D medical college, Gorakhpur
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Introduction: Prior to the antibiotic era and more enlighten surgical approaches, the occurrence of septic arthritis presented literal threat to life and limb. Despite potent antibiotics, Septic arthritis continues to be one of the most damaging and prevalent form of arthritis. Septic arthritis is bacterial infection of synovium and subsequently all the structure within the joint, which causes intense inflammatory reaction, possibly leading to destruction of articular cartilage and later of the complete Joints. Case Presentation: A diagnosis of septic arthritis was explicitly assigned when a patient had a positive Gram stain or culture finding of joint fluid, purulent joint aspiration drawn from a joint adjacent to a site with known osteomyelitis, focal joint involvement in the setting of bacteremia. If no growth was observed during culture, we presumed a diagnosis of septic arthritis when 2 of the major and 5 of the minor clinical criteria described by Morrey et al. were satisfied and the diagnosis was supported by ultrasonographic findings. Conclusion: The incidence of septic arthritis in children < 1 year is 1.65 per1000 children, 8.37 per 10,000 infants and in neonates its 2.80 per 1000. Males are most commonly affected with male: female being 3: 1. Hip is commonest involved joint. Commonest organism responsible for septic arthritis is Staphylococcus. The major cause of late presentation and/or delayed initiation of definitive management in septic arthritis is handling of the patients by non-orthopaedics specialist initially. Identified risk factors in this study are prematurity, perinatal hypoxia, septicemia, birth trauma and venous catheterization. Most of the clinical improvement occurs during first 6 weeks. Radiological improvement lags behind clinical improvement by 2-4 weeks. Most important prognostic factors for poor outcome are late presentation and /or delayed initiation of definative management.
Authors and Affiliations
Kumar Surendra, Yadav Ashok, Chaudhary Sanjay, Tomar Shashank
Keywords
Related Articles
- EP ID EP487695
- DOI 10.22271/ortho.2018.v4.i3l.116
- Views 90
- Downloads 0
Management of pathological femoral fracture secondary to Ewing sarcoma in pregnancy: A case report
Ewing's sarcoma is an ultra-orphan disease (2/1,000,000/year) which requires a multimodal therapy approach in high-volume centers. Treatment consists of pre-operative therapy followed by surgery and post-operative combin...
Comparatively increased complications in obese patients undergoing total hip arthroplasty through a direct anterior approach
Background: Direct Anterior IP replacement is a minimally invasive surgical technique. This approach involves a 3 to 4 inch incision on the front of the hip that allows the joint to be replaced by moving muscles aside al...
Short same segment fixation of thoracolumbar fractures
Introduction: Thoracolumbar fractures are the most common injuries being treated by spine surgeons. Conventionally these fracture were treated with 2 levels above and 2 levels below the fracture site. The goal of interna...
A comparative analysis of outcomes of treatment of fracture neck of femur with 9.5mm sliding hip screw and plate with an additional derotation screw versus three parallel cannulated hip screws
Fracture neck of femur has always attracted the mankind due to its peculiar nature of going into non union and osteonecrosis of femoral head even with best fixation method and adequate reduction. A novel way to treat fra...
A study of outcome of autolougous platelet rich plasma injection in patients with chronic plantar fasciitis
Plantar fasciitis is one of the most common musculoskeletal problems in the orthopaedic practice. Any heel pain due to plantar fasciitis persisting will often distress the patient, so right intervention at the right time...