Abstract
Introduction
Septic arthritis of the hip in the newborn baby can result in severe long term sequelae in the form of dislocation of the hip, loss of movement and growth disturbance with leg length discrepancy. Reconstructive procedures for this difficult problem have not been satisfactory.
Patient and methods
This series comprises eight patients with septic hip sequelae . All of them had old septic hip and leg length discrepancy ranging from 4 cm to 15 cm. all underwent hip stabilization by pelvic support osteotomy and simultaneous limb lengthening and angular deformities correction using the Ilizarov frame. The age at the operation range from 8 years to 19 years, with an average follow up 4 years.
Results
The average of limb lengthening gained was 9cm. All hips remain stable and loss of the range of hip and knee motion was not significant. Other complications include pin tract infection one delayed consolidation of callus and one fracture of callus.
Conclusion
The Ilizarov hip reconstruction is a good option for the treatment of the late sequelae of infantile hip infection in adolescents. It should be considered a promising choice for the management of late sequelae of infantile hip infection.
