TITLE:
Septic Hip Arthritis at CHU Gabriel TOURE: Therapeutic and Evolutionary Aspects
AUTHORS:
Abdoul Kadri Moussa, Mahamadou Diallo, Layes Touré, Mamadou B. Traoré, Tiéman Coulibaly, Adegné Togo
KEYWORDS:
Hip, Arthritis, Septic, Treatment, Evolution, Mali
JOURNAL NAME:
Surgical Science,
Vol.14 No.3,
March
13,
2023
ABSTRACT: Introduction: Septic hip arthritis involves the functional prognosis of the hip in
case of joint destruction. The aim of this work was to evaluate the hospital frequency, to determine the therapeutic and
evolutionary aspects of septic arthritis of the hip at the trauma
orthopedic department of CHU Gabriel TOURE Bamako. Methods: This was a
descriptive, monocentric, cross-sectional study of patients with septic hip
arthritis, managed from January 2010 to December 2019. Results: We
collected 48 patients. Gender male was represented 58.3% with a sex ratio of 1.4. The average age of our
patients was 17.02, with extremes of 7 and 80. Septic hip arthritis was
observed in a chronic mode in 87.5% (more than 3 weeks). Diagnosis was
based on clinical, bacteriological and imaging. Trauma was incriminated in 5
cases (10.4%). The radiographic assessment at the time of the consultation was
normal in 66.7% of cases. Staphylococcus aureus was the most common germ with
47.9%, and the culture was sterile in 10.4%. Septic hip arthritis was complicated
in 18.75% of cases. Antibiotic therapy was probabilistic with the combination
of ciprofloxacin and metronidazole in 24 cases (50%). Watson Jones
antero-lateral arthrotomy was performed in 35.71%. We observed 66.6%
complications. After an average decrease of 41.6 months, functional results
were good in 58.3%. Conclusion: Septic hip arthritis is a serious
condition of the child and adolescent. Diagnosis must be early; management must
also be early, multidisciplinary and adapted to minimize sequelae.