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  • Title: Management of septic arthritis in children.
    Author: Herndon WA, Knauer S, Sullivan JA, Gross RH.
    Journal: J Pediatr Orthop; 1986; 6(5):576-8. PubMed ID: 3489736.
    Abstract:
    Forty-five children underwent initial nonoperative treatment of hematogenous septic arthritis in joints other than the hip. Only joints with symptoms for less than 6 days and without associated osteomyelitis were included. Thirty-four of the 49 joints were successfully managed by aspiration and antibiotics, whereas the remaining joints were successfully managed by surgical drainage following a lack of response to nonoperative treatment. All children had a satisfactory result after an average follow-up of greater than 3 years. Early diagnosis and treatment are more important than the method of drainage. If a lack of response is seen to initial nonoperative treatment, surgical drainage will still lead to a satisfactory outcome.
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