Ohl M D, Kean J R, Steensen R N
Orthopaedic Department, Gaul Orthopedic Group, PA Charlotte, North Carolina.
Orthop Rev. 1991 Oct;20(10):894-6.
Septic arthritis of the hip and knee is very common in children and adolescents. Sixteen consecutive patients were treated for septic arthritis of the kee with arthroscopic lavage and debridement. Ten of the 16 knees were culture positive on preoperative aspiration. The average duration of antibiotic treatment was 19 days. The mean immobilization period was 1 1/2 days and the time to full and painless range of motion averaged 2.8 weeks. All patients resumed normal activities by 3 weeks, no infections recurred, and postoperative morbidity was minimal.
髋部和膝部的化脓性关节炎在儿童和青少年中非常常见。连续16例患者接受了膝关节镜下灌洗和清创术治疗化脓性关节炎。16个膝关节中有10个在术前抽吸培养时呈阳性。抗生素治疗的平均持续时间为19天。平均固定期为1.5天,完全无痛活动范围的时间平均为2.8周。所有患者在3周内恢复正常活动,无感染复发,术后发病率极低。