Treatment of septic arthritis of the hip by arthroscopic lavage.

Abstract

Since 1987, nine cases of septic arthritis of the hip joint in children were treated by arthroscopic lavage. The technique of arthroscopic hip examination is described. This treatment, when combined with standard medical therapy, was effective in ablating septic disease in all patients. No complications were attributable to the surgical procedure. We emphasize the value of large-bore, large-volume lavage, direct suction to remove joint debris, and postoperative suction drainage. The technique is an attractive alternative to arthrotomy and offers low surgical morbidity, effective joint cleansing, and early return of joint mobility.