Complications
Complication of delayed surgical management of a septic joint infection.
Management should consist of blood cultures, empiric IV antibiotics, monitoring of hemodynamic stability, and prompt surgical debridement.
Complication of displaced femoral neck stress fractures requiring open reduction, internal fixation.
A majority of patients will develop osteoarthritis of varying severity if followed long term.[11]
Patients are advised to lose weight, modify activity, and use an assistive device (e.g., cane or crutch in contralateral hand).
Patients should be referred for orthopedic surgical evaluation for possible joint arthroplasty or intra-articular injection.
Complication resulting from potential long-term sequelae of septic hip joint infection in children, which include joint destruction, dislocation, and premature physeal closure.
Risk of developing these late complications results from delay in treatment.
Referral to a pediatric orthopedic surgeon for evaluation and possible leg-length correcting procedure is appropriate.
Complication of displaced femoral neck stress fractures requiring open reduction, internal fixation. About one third of patients will develop a delayed union or nonunion.[11]
Patients are advised to use an assistive device (e.g., cane or crutch in contralateral hand) and should be referred to an orthopedic surgeon for possible surgical management.
Complication of displaced femoral neck stress fractures requiring open reduction, internal fixation.
Among patients with displaced femoral neck fractures, about one third will develop osteonecrosis of femoral head, usually within 1 to 5 years postoperatively.[11]
Patients should be referred for orthopedic surgical evaluation for possible joint salvage procedure or total joint arthroplasty.
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