Arthroscopic Management for Septic Arthritis of the Hip Joint in Adults - A Report of Four Cases -

Deuk-Soo Hwang; Chang-Hwan Lee; Dae-Cheol Nam; Kyung-Tae Kim

doi:10.4055/jkoa.2008.43.4.506

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Hwang, Lee, Nam, and Kim: Arthroscopic Management for Septic Arthritis of the Hip Joint in Adults - A Report of Four Cases -

Case Report

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2008; 43(4): 506-509.

Published online: 31 August 2008

DOI: https://doi.org/10.4055/jkoa.2008.43.4.506

Arthroscopic Management for Septic Arthritis of the Hip Joint in Adults - A Report of Four Cases -

Deuk-Soo Hwang, M.D., Chang-Hwan Lee, M.D., Dae-Cheol Nam, M.D., Kyung-Tae Kim, M.D.

Department of Orthopedic Surgery, Chungnam National University School of Medicine, Daejeon, Korea.

Address reprint requests to Deuk-Soo Hwang, M.D. Department of Orthropaedic Surgery, Chungnam National University Hospital, #640, Daesa-Dong, Jung-Gu, Dae-Jeon 301-721, Korea. Tel: +82.42-220-7350, Fax: +82.42-252-7098, dshwang@cnu.ac.kr

Abstract

Treatment of pyogenic arthritis in hip joints in adults usually required debridement through early arthrotomy. However, domestically arthroscopic management is not widely performed. Recent development of operation techniques and equipments helped to improve the value of arthroscopic approach and its diagnostic value and therapeutic usefulness. We report the clinical results from the 4 cases of pyogenic arthitis of hip joint in adults treating with arthroscopic irrigation and debridement.

Keywords: Hip joint, Pyogenic arthritis, Arthroscopic management

Figures and Tables

Fig. 1

52-year-old man with septic arthritis of the hip joint. (A) Ultrasonography of Hip joint. Posterior echogenecity is shown due to the liquid in the joint. (B) Magnetic resonance imaging (MRI) of Hip. Anteriorly upper and lower part of the hip joint have stagnation of the synovial fluid. (C) In the beginning of arthroscope, visual field is vague due to the messy synovial fluid, fibrous granulation tissue and necrotic debris is shown, and proliferation of the synovial membrane is observed. (D) After irrigation & debridement, wore out damaged cartilage, and the proliferated synovial membrane is removed. (E) 6 months after surgery.

Table 1

Culture Results and Co-morbidity of 4 Patients

^*S. aureus, Staphylococcos aureus; ^†S. epidermidis, Staphylococcos epidermidis.

Table 2

The Changes of Clinical and Laboratory Findings of Patients

References

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