Saturday, September 5, 2009

septic hip treated conservatively.

Septic hip in child usually lead to stiffness of joint, deformities and instability. These patients are usually treated with antibiotics and surgical treatment. But results are varying from almost normal hip to severe disability. We are presenting a case which was treated with only medication without any surgical procedure but has shown a remarkable recovery and patient at present is full functional with no disability.
Our patient was a 12 year female who was presented to us with hip pain with no constitutional symptoms. Hip pain was since 1 week and patient was not able to walk due to that.
After x ray and MRI and detail clinical examination we reached at conclusion that she was having septic hip with MRI was showing marrow edema and fluid in joint. We plan to drain it but could not get anesthetic fitness due to breathlessness. Patient received 6 week iv antibiotics followed by 6 week oral antibiotics and bed rest.
After her pain was subside and she was stated partial weight bearing followed by full weight bearing.
At present after 2 year of follow-up she was having normal gait pattern with no functional disability.
We here want to emphasize that femoral head in children has remarkable growth potential and good healing power.

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