Percutaneous Aspiration Irrigation Drainage Technique in the Management of Septic Arthritis in Children
Background: Septic arthritis in childhood is a therapeutic emergency. The authors present their experience using an intermediate technique with the advantages of the percutaneous aspiration irrigation drainage: joint aspiration, irrigation, and declivious drainage. Methods: All children were treated...
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| مؤلفون آخرون: | , , , , |
| التنسيق: | article |
| منشور في: |
2011
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| الوصول للمادة أونلاين: | http://hdl.handle.net/10725/4350 http://dx.doi.org/10.1097/TA.0b013e31820318f0 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://oce.ovid.com/article/00005373-201102000-00019/HTML |
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| _version_ | 1864513463258185728 |
|---|---|
| author | Hayek, Toni |
| author2 | Griffet, Jacques Oborocianu, Ioana Amandine, Rubio Leroux, Julien Lauron, Jerome |
| author2_role | author author author author author |
| author_facet | Hayek, Toni Griffet, Jacques Oborocianu, Ioana Amandine, Rubio Leroux, Julien Lauron, Jerome |
| author_role | author |
| dc.creator.none.fl_str_mv | Hayek, Toni Griffet, Jacques Oborocianu, Ioana Amandine, Rubio Leroux, Julien Lauron, Jerome |
| dc.date.none.fl_str_mv | 2011 2016-09-22T09:33:19Z 2016-09-22T09:33:19Z 2016-09-22 |
| dc.identifier.none.fl_str_mv | 0022-5282 http://hdl.handle.net/10725/4350 http://dx.doi.org/10.1097/TA.0b013e31820318f0 Griffet, J., Oborocianu, I., Rubio, A., Leroux, J., Lauron, J., & Hayek, T. (2011). Percutaneous aspiration irrigation drainage technique in the management of septic arthritis in children. Journal of Trauma and Acute Care Surgery, 70(2), 377-383. http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://oce.ovid.com/article/00005373-201102000-00019/HTML |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | The Journal of Trauma: Injury, Infection, and Critical Care |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Percutaneous Aspiration Irrigation Drainage Technique in the Management of Septic Arthritis in Children |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | Background: Septic arthritis in childhood is a therapeutic emergency. The authors present their experience using an intermediate technique with the advantages of the percutaneous aspiration irrigation drainage: joint aspiration, irrigation, and declivious drainage. Methods: All children were treated by joint aspiration under fluoroscopic control, large volume irrigation, and declivious nonsuction drainage associated with immobilization and intravenous antibiotics during 8 days to 10 days. The draining system was removed when clinical improvement (namely apyrexia) and the decrease of biological inflammatory response were obtained. A late follow-up phone interview was made for each patient. Fifty-two patients were included in this study, with a mean age of 4.3 years. The most common sites of arthritis were the hip (19 of 52, 36%) and the knee (17 of 52, 32%), but ankle (8 of 52, 15%), shoulder (12%), and elbow (3%) were also involved. Result: Apyrexia was obtained after a mean period of 2 days. The mean draining duration was 4.5 days. On the last follow-up visit (at 21 months on average; range, 12–56 months), all patients except one were totally painless and had no limitation of physical activity. Conclusion: Percutaneous aspiration irrigation drainage assured very good results in this study population, with rapid clinical and biological improvement and the absence of long-term sequelae. The advantages of this technique include permanent joint access and control of synovial effusions, with only one general anesthesia and minimal iatrogenic morbidity. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_87bc75fed1a67e3fb7cf4d58983159c4 |
| identifier_str_mv | 0022-5282 Griffet, J., Oborocianu, I., Rubio, A., Leroux, J., Lauron, J., & Hayek, T. (2011). Percutaneous aspiration irrigation drainage technique in the management of septic arthritis in children. Journal of Trauma and Acute Care Surgery, 70(2), 377-383. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/4350 |
| publishDate | 2011 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Percutaneous Aspiration Irrigation Drainage Technique in the Management of Septic Arthritis in ChildrenHayek, ToniGriffet, JacquesOborocianu, IoanaAmandine, RubioLeroux, JulienLauron, JeromeBackground: Septic arthritis in childhood is a therapeutic emergency. The authors present their experience using an intermediate technique with the advantages of the percutaneous aspiration irrigation drainage: joint aspiration, irrigation, and declivious drainage. Methods: All children were treated by joint aspiration under fluoroscopic control, large volume irrigation, and declivious nonsuction drainage associated with immobilization and intravenous antibiotics during 8 days to 10 days. The draining system was removed when clinical improvement (namely apyrexia) and the decrease of biological inflammatory response were obtained. A late follow-up phone interview was made for each patient. Fifty-two patients were included in this study, with a mean age of 4.3 years. The most common sites of arthritis were the hip (19 of 52, 36%) and the knee (17 of 52, 32%), but ankle (8 of 52, 15%), shoulder (12%), and elbow (3%) were also involved. Result: Apyrexia was obtained after a mean period of 2 days. The mean draining duration was 4.5 days. On the last follow-up visit (at 21 months on average; range, 12–56 months), all patients except one were totally painless and had no limitation of physical activity. Conclusion: Percutaneous aspiration irrigation drainage assured very good results in this study population, with rapid clinical and biological improvement and the absence of long-term sequelae. The advantages of this technique include permanent joint access and control of synovial effusions, with only one general anesthesia and minimal iatrogenic morbidity.PublishedN/A2016-09-22T09:33:19Z2016-09-22T09:33:19Z20112016-09-22Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article0022-5282http://hdl.handle.net/10725/4350http://dx.doi.org/10.1097/TA.0b013e31820318f0Griffet, J., Oborocianu, I., Rubio, A., Leroux, J., Lauron, J., & Hayek, T. (2011). Percutaneous aspiration irrigation drainage technique in the management of septic arthritis in children. Journal of Trauma and Acute Care Surgery, 70(2), 377-383.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://oce.ovid.com/article/00005373-201102000-00019/HTMLenThe Journal of Trauma: Injury, Infection, and Critical Careinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/43502021-03-19T10:03:21Z |
| spellingShingle | Percutaneous Aspiration Irrigation Drainage Technique in the Management of Septic Arthritis in Children Hayek, Toni |
| status_str | publishedVersion |
| title | Percutaneous Aspiration Irrigation Drainage Technique in the Management of Septic Arthritis in Children |
| title_full | Percutaneous Aspiration Irrigation Drainage Technique in the Management of Septic Arthritis in Children |
| title_fullStr | Percutaneous Aspiration Irrigation Drainage Technique in the Management of Septic Arthritis in Children |
| title_full_unstemmed | Percutaneous Aspiration Irrigation Drainage Technique in the Management of Septic Arthritis in Children |
| title_short | Percutaneous Aspiration Irrigation Drainage Technique in the Management of Septic Arthritis in Children |
| title_sort | Percutaneous Aspiration Irrigation Drainage Technique in the Management of Septic Arthritis in Children |
| url | http://hdl.handle.net/10725/4350 http://dx.doi.org/10.1097/TA.0b013e31820318f0 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://oce.ovid.com/article/00005373-201102000-00019/HTML |