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Active septic arthritis of the hip in adults: what’s new in the treatment? A systematic review
Treatment of bacterial septic arthritis in the native adult hip joint can be challenging. Prompt diagnosis and treatment decisions can reduce the associated morbidity and mortality. For this systematic review of the literature, we asked: (1) What are the treatment options? (2) What are the success r...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
British Editorial Society of Bone and Joint Surgery
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8025707/ https://www.ncbi.nlm.nih.gov/pubmed/33841915 http://dx.doi.org/10.1302/2058-5241.6.200082 |
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author | D’Angelo, Fabio Monestier, Luca Zagra, Luigi |
author_facet | D’Angelo, Fabio Monestier, Luca Zagra, Luigi |
author_sort | D’Angelo, Fabio |
collection | PubMed |
description | Treatment of bacterial septic arthritis in the native adult hip joint can be challenging. Prompt diagnosis and treatment decisions can reduce the associated morbidity and mortality. For this systematic review of the literature, we asked: (1) What are the treatment options? (2) What are the success rates and the outcomes after treatment? (3) Which antibiotic and duration of therapy are optimal? We searched the electronic databases PubMed, Scopus, and Embase using the search terms “hip” or “native hip” and “septic arthritis” or “coxitis”. Studies were included if they reported on: (1) bacterial infection of the hip, (2) treatment, (3) success rate/outcomes, (4) follow-up. The final review included 19 studies. The quality of study reporting was evaluated with the Methodological Index for Non-randomized Studies (MINORS) questionnaire. Three treatment options are: arthroscopy, single open surgery, and two-stage total hip arthroplasty (THA). A high success rate in infection eradication was reported for all three. Intravenous antibiotic therapy should be promptly initiated to eradicate septic arthritis and minimize potential sequelae and complications. Arthroscopy, single open or two-stage THA were reported to be effective in treating bacterial septic arthritis of the native hip. The key to optimal outcome is early diagnosis and timely treatment. Cite this article: EFORT Open Rev 2021;6:164-172. DOI: 10.1302/2058-5241.6.200082 |
format | Online Article Text |
id | pubmed-8025707 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | British Editorial Society of Bone and Joint Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-80257072021-04-08 Active septic arthritis of the hip in adults: what’s new in the treatment? A systematic review D’Angelo, Fabio Monestier, Luca Zagra, Luigi EFORT Open Rev Hip Treatment of bacterial septic arthritis in the native adult hip joint can be challenging. Prompt diagnosis and treatment decisions can reduce the associated morbidity and mortality. For this systematic review of the literature, we asked: (1) What are the treatment options? (2) What are the success rates and the outcomes after treatment? (3) Which antibiotic and duration of therapy are optimal? We searched the electronic databases PubMed, Scopus, and Embase using the search terms “hip” or “native hip” and “septic arthritis” or “coxitis”. Studies were included if they reported on: (1) bacterial infection of the hip, (2) treatment, (3) success rate/outcomes, (4) follow-up. The final review included 19 studies. The quality of study reporting was evaluated with the Methodological Index for Non-randomized Studies (MINORS) questionnaire. Three treatment options are: arthroscopy, single open surgery, and two-stage total hip arthroplasty (THA). A high success rate in infection eradication was reported for all three. Intravenous antibiotic therapy should be promptly initiated to eradicate septic arthritis and minimize potential sequelae and complications. Arthroscopy, single open or two-stage THA were reported to be effective in treating bacterial septic arthritis of the native hip. The key to optimal outcome is early diagnosis and timely treatment. Cite this article: EFORT Open Rev 2021;6:164-172. DOI: 10.1302/2058-5241.6.200082 British Editorial Society of Bone and Joint Surgery 2021-03-01 /pmc/articles/PMC8025707/ /pubmed/33841915 http://dx.doi.org/10.1302/2058-5241.6.200082 Text en © 2021 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed. |
spellingShingle | Hip D’Angelo, Fabio Monestier, Luca Zagra, Luigi Active septic arthritis of the hip in adults: what’s new in the treatment? A systematic review |
title | Active septic arthritis of the hip in adults: what’s new in the treatment? A systematic review |
title_full | Active septic arthritis of the hip in adults: what’s new in the treatment? A systematic review |
title_fullStr | Active septic arthritis of the hip in adults: what’s new in the treatment? A systematic review |
title_full_unstemmed | Active septic arthritis of the hip in adults: what’s new in the treatment? A systematic review |
title_short | Active septic arthritis of the hip in adults: what’s new in the treatment? A systematic review |
title_sort | active septic arthritis of the hip in adults: what’s new in the treatment? a systematic review |
topic | Hip |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8025707/ https://www.ncbi.nlm.nih.gov/pubmed/33841915 http://dx.doi.org/10.1302/2058-5241.6.200082 |
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