Arthroscopic treatment of septic arthritis of the knee using a trans-septal portal in an infant: a case report
Ki-Cheor Bae, Ji-Hoon Kim, Du-Han Kim
Department of Orthopedic Surgery, Keimyung University School of Medicine, Daegu, Korea
Correspondence to: Du-Han Kim, https://orcid.org/0000-0002-6636-9340
Department of Orthopedic Surgery, Keimyung University School of Medicine, 1035 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea. Tel: +82-53-258-4772, Fax: +82-53-258-4773, E-mail: osmdkdh@gmail.com
Department of Orthopedic Surgery, Keimyung University School of Medicine, 1035 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea. Tel: +82-53-258-4772, Fax: +82-53-258-4773, E-mail: osmdkdh@gmail.com
Received May 20, 2024; Revised June 29, 2024; Accepted June 30, 2024.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Abstract
- Acute septic arthritis in infants is considered an orthopedic emergency. Ineffective treatment and diagnostic delay can result in devastating damage to the joint with potential for lifelong disability. A 12-month-old infant was referred to our emergency room for fever and swelling of the left knee. The laboratory test showed high levels of C-reactive protein and white blood cell (WBC) count. Thick, yellowish pus-like synovial fluid was aspirated on the suprapatellar pouch on the left knee, revealing WBC count of 226,800/μL and 95% neutrophils. Using elbow arthroscopy equipment, arthroscopic synovectomy and debridement were performed in both the anterior and posterior compartments using a trans-septal approach. After the surgery, the patient’s condition improved rapidly, and the results from the infection laboratory indicated a return to normal values 1 week postoperatively. At the final 16-month follow-up, the patient had completely healed without complications.
- Keywords : Arthritis, infectious; Arthroscopy; Posterior trans-septal portal; Infant; Knee
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