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[Conservative treatment of suppurative hematogenic arthritis of the hip joint]
Abstract:
Authors collected from the 82 suppurations of the hip, during the 12 years activity of their Department, the cases treated from some reason conservatively. They had 21 such cases, 17 of them males. The average age of the patients was 38 years and the haematogenous way of the infection could be proven in 15 cases. The scheme of the treatment: very long.lasting giving of broad spectra antibiotics, temporary immobilization with extension, long-lasting relief of weight bearing, if necessary hip spica. The results are assessed critically. In this the tendency of recurrence of the disease, and that the longest follow-up was 10 years, in average however only 3.6 years, play a role. At closing of the material 12 patients stated to be free of complaints, the hip movements were completely retained in 4.9 cases are demonstrated in details and the "strategic" questions of the conservative treatment of the suppurations of the hip are discussed.