Articles | Volume 8, issue 5
https://doi.org/10.5194/jbji-8-209-2023
© Author(s) 2023. This work is distributed under
the Creative Commons Attribution 4.0 License.
the Creative Commons Attribution 4.0 License.
https://doi.org/10.5194/jbji-8-209-2023
© Author(s) 2023. This work is distributed under
the Creative Commons Attribution 4.0 License.
the Creative Commons Attribution 4.0 License.
Original full-length article
| 
12 Oct 2023
Original full-length article |
| 12 Oct 2023
| 12 Oct 2023
Should treatment decisions in septic arthritis of the native hip joint be based on the route of infection?
Fred Ruythooren
CORRESPONDING AUTHOR
Department of Orthopaedic Surgery, University Hospitals Leuven –
Gasthuisberg, Leuven, Belgium
Institute for Orthopaedic Research and Training (IORT), Catholic
University Leuven, Leuven, Belgium
Stijn Ghijselings
Department of Orthopaedic Surgery, University Hospitals Leuven –
Gasthuisberg, Leuven, Belgium
Institute for Orthopaedic Research and Training (IORT), Catholic
University Leuven, Leuven, Belgium
Jordi Cools
Department of Orthopaedic Surgery, University Hospitals Leuven –
Gasthuisberg, Leuven, Belgium
Institute for Orthopaedic Research and Training (IORT), Catholic
University Leuven, Leuven, Belgium
Melissa Depypere
Department of Laboratory Medicine, University Hospitals Leuven –
Gasthuisberg, Leuven, Belgium
Paul De Munter
Department of General Internal Medicine, University Hospitals Leuven – Gasthuisberg, Leuven, Belgium
Department of Microbiology, Immunology and Transplantation, Laboratory for Clinical Infectious and Inflammatory Disorders, KU Leuven, Leuven, Belgium
Willem-Jan Metsemakers
Department of Traumatology, University Hospitals Leuven –
Gasthuisberg, Belgium
Department of Development and Regeneration, KU Leuven, Leuven,
Belgium
Georges Vles
CORRESPONDING AUTHOR
Department of Orthopaedic Surgery, University Hospitals Leuven –
Gasthuisberg, Leuven, Belgium
Institute for Orthopaedic Research and Training (IORT), Catholic
University Leuven, Leuven, Belgium
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Short summary
A total of 41 patients who underwent surgical treatment for septic arthritis (SA) of the native hip were studied. We show that patients with SA of the native hip can be divided in three distinct clinical subgroups based on route of infection. Route of infection is directly related to the chance of femoral head preservation and should, therefore, be the basis for decision-making. Only patients with blood-borne infections in an undamaged hip had a reasonable chance of femoral head preservation.
A total of 41 patients who underwent surgical treatment for septic arthritis (SA) of the native...
