Year : 2018 | Volume
: 53 | Issue : 1 | Page : 1--7
Ilizarov hip reconstruction for late sequelae of childhood septic arthritis
Mahmoud A El-Rosasy, Mostafa A Ayoub
Department of Orthopaedic Surgery, Faculty of Medicine, University of Tanta, Tanta, Egypt
Background The management of hip instability because of septic arthritis in childhood is difficult. Ilizarov hip reconstruction (IHR) is a double-level femoral osteotomy with the objective of eliminating hip instability, through a proximal valgus extension–derotation osteotomy, and a distal varization-lengthening osteotomy for mechanical axis correction and equalization limb length.
Patients and methods IHR was performed for 16 adult patients with complaints of hip pain, leg-length discrepancy, limping, reduced activity, and limited abduction of the hip as a result of childhood septic arthritis. Their ages ranged from 19 to 32 years (mean 23.2±4.2 years).
Results Ilizarov external fixator was used in all cases. At the time of last follow-up, which ranged from 60 to 132 months (mean 85.6±23.5 months), the Harris hip score showed excellent functional outcome in two (12.50%) cases, good in 13 (81.25%) cases, and fair in one (6.25%) case. There was no poor functional outcome in any case. Preoperatively, the mean Harris hip score was 56.18 points, and at the time of last follow-up, it improved to a mean of 84.62 points. Pain subsided in all patients, the Trendelenburg sign became negative in all but three (19%) patients, no patient had limb-length discrepancy, and the alignment of the extremity was reestablished in all cases. No additional operations were required.
Conclusion IHR is a valuable and durable solution for the late sequelae of childhood septic arthritis of the hip presenting in adult patients.
Mahmoud A El-Rosasy
Department of Orthopaedic Surgery, University of Tanta Hospital, Al-Geish Street, Tanta, 31527
|How to cite this article:|
El-Rosasy MA, Ayoub MA. Ilizarov hip reconstruction for late sequelae of childhood septic arthritis.Egypt Orthop J 2018;53:1-7
|How to cite this URL:|
El-Rosasy MA, Ayoub MA. Ilizarov hip reconstruction for late sequelae of childhood septic arthritis. Egypt Orthop J [serial online] 2018 [cited 2019 Oct 15 ];53:1-7
Available from: http://www.eoj.eg.net/article.asp?issn=1110-1148;year=2018;volume=53;issue=1;spage=1;epage=7;aulast=El-Rosasy;type=0