J Korean Orthop Assoc.  2008 Aug;43(4):506-509. 10.4055/jkoa.2008.43.4.506.

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

• Hwang DS
• Lee CH
• Nam DC
• Kim KT

• KMID: 1480413
• DOI: http://doi.org/10.4055/jkoa.2008.43.4.506

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.

Keyword

Hip joint; Pyogenic arthritis; Arthroscopic management

MeSH Terms

Adult
Arthritis
Arthritis, Infectious
Debridement
Hip
Hip Joint
Humans

Figure

• 

  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.

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