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Published in: Archives of Orthopaedic and Trauma Surgery 11/2011

01-11-2011 | Hip Arthroplasty

Septic arthritis of the hip in patients with femoral head osteonecrosis

Authors: Young-Kyun Lee, Yun Jong Lee, Yong-Chan Ha, Ki-Choul Kim, Kyung-Hoi Koo

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2011

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Abstract

Septic hip is rare in patients with femoral head osteonecrosis (FHON) and has been known to occur in those who are immune compromised. Thus, surgeons do not concern about the superimposed septic hip in immunocompetent patients. We report five patients who had FHON and concomitant septic arthritis of the hip. No patients were immune compromised. All patients had an elevation of ESR and CRP. Two patients had an otherwise unexplained fever preoperatively. Two patients had had a remote septic focus. When a patient with FHON has an unexplained elevation of ESR and CRP, concomitant septic arthritis of the hip should be suspected even though the patient is not immune compromised.
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Metadata
Title
Septic arthritis of the hip in patients with femoral head osteonecrosis
Authors
Young-Kyun Lee
Yun Jong Lee
Yong-Chan Ha
Ki-Choul Kim
Kyung-Hoi Koo
Publication date
01-11-2011
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 11/2011
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-011-1334-1

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