RESUMEN
Three children with suppurative arthritis and osteomyelitis are described to emphasise that delayed or incorrect diagnosis may lead to serious cardiopulmonary complications. In two patients, bilateral bronchopneumonia developed with pneumatocoeles, pneumothorax and empyema. The other had cardiac failure from septic pericarditis. In one case, disarticulation of the knee was needed as a life-saving measure, and the other leg developed an infected pseudarthrosis of the tibia. The causative organism in each case was staphylococcus aureus and no evidence of immunodeficiency was demonstrated.
Asunto(s)
Artritis Infecciosa/complicaciones , Osteomielitis/complicaciones , Enfermedad Aguda , Artritis Infecciosa/diagnóstico por imagen , Artritis Infecciosa/cirugía , Niño , Preescolar , Femenino , Humanos , Masculino , Osteomielitis/diagnóstico por imagen , Osteomielitis/cirugía , RadiografíaRESUMEN
We studied five patients who had proximal row carpectomy for the correction of wrist deformity secondary to arthrogryposis multiplex congenita. Three patients subsequently had wrist arthrodesis for recurrent or persistent deformity. We analyzed those factors we thought might influence the final result, including age at time of surgery, adequacy of correction of deformity, position of immobilization, and duration of immobilization. We concluded that despite attention to the details of intraoperative correction of deformity and postoperative immobilization, the results are unpredictable.
