Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis

Purpose The study was undertaken to: (1) describe the characteristic radiological features and problems of management of the loss of one condyle of the femur or tibia following septic arthritis of the knee in infancy and (2) test a hypothesis of the cause of the loss of a single condyle. Methods Rad...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Tercier, Stéphane [verfasserIn] Siddesh, N. D. Shah, Hitesh Girisha, K. M. Joseph, Benjamin

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2012

Schlagwörter:	Septic arthritis Knee Condyle loss Missing condyle Synovial plica Infrapatellar plica

Anmerkung:	© EPOS 2012

Übergeordnetes Werk:	Enthalten in: Journal of children's orthopaedics - London : Sage, 2007, 6(2012), 4 vom: 19. Juli, Seite 319-325
Übergeordnetes Werk:	volume:6 ; year:2012 ; number:4 ; day:19 ; month:07 ; pages:319-325

Links:	Volltext

DOI / URN:	10.1007/s11832-012-0408-0

Katalog-ID:	SPR022619100

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allfields	10.1007/s11832-012-0408-0 doi (DE-627)SPR022619100 (SPR)s11832-012-0408-0-e DE-627 ger DE-627 rakwb eng Tercier, Stéphane verfasserin aut Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose The study was undertaken to: (1) describe the characteristic radiological features and problems of management of the loss of one condyle of the femur or tibia following septic arthritis of the knee in infancy and (2) test a hypothesis of the cause of the loss of a single condyle. Methods Radiographs of eight children with the loss of one condyle of the femur or the tibia following septic arthritis in infancy were reviewed. The course and outcome in two of these children who underwent reconstructive operations were studied. The knees of 35 stillborn foetuses were dissected to determine if the presence of synovial septae could account for the isolated loss of one condyle following infection. Results All eight cases showed characteristic features of loss of half the epiphysis, the underlying physis and part of the adjacent metaphysis; the other condyle was totally spared. The two children who underwent elaborate reconstructive procedures had poor outcomes at skeletal maturity, despite a series of additional operations. The foetal cadaveric study showed that complete infrapatellar synovial septae are present in some foetuses approaching 40 weeks of gestation. Conclusions The pattern of loss of a femoral or tibial condyle following septic arthritis is consistent with total preservation of the other condyle. The outcome of surgical reconstruction of the missing condyle is poor. The presence of a complete synovial septum could result in the localisation of infection to one half of the joint, with the destruction of one condyle. Septic arthritis (dpeaa)DE-He213 Knee (dpeaa)DE-He213 Condyle loss (dpeaa)DE-He213 Missing condyle (dpeaa)DE-He213 Synovial plica (dpeaa)DE-He213 Infrapatellar plica (dpeaa)DE-He213 Siddesh, N. D. aut Shah, Hitesh aut Girisha, K. M. aut Joseph, Benjamin aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 4 vom: 19. Juli, Seite 319-325 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:4 day:19 month:07 pages:319-325 https://dx.doi.org/10.1007/s11832-012-0408-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 4 19 07 319-325
spelling	10.1007/s11832-012-0408-0 doi (DE-627)SPR022619100 (SPR)s11832-012-0408-0-e DE-627 ger DE-627 rakwb eng Tercier, Stéphane verfasserin aut Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose The study was undertaken to: (1) describe the characteristic radiological features and problems of management of the loss of one condyle of the femur or tibia following septic arthritis of the knee in infancy and (2) test a hypothesis of the cause of the loss of a single condyle. Methods Radiographs of eight children with the loss of one condyle of the femur or the tibia following septic arthritis in infancy were reviewed. The course and outcome in two of these children who underwent reconstructive operations were studied. The knees of 35 stillborn foetuses were dissected to determine if the presence of synovial septae could account for the isolated loss of one condyle following infection. Results All eight cases showed characteristic features of loss of half the epiphysis, the underlying physis and part of the adjacent metaphysis; the other condyle was totally spared. The two children who underwent elaborate reconstructive procedures had poor outcomes at skeletal maturity, despite a series of additional operations. The foetal cadaveric study showed that complete infrapatellar synovial septae are present in some foetuses approaching 40 weeks of gestation. Conclusions The pattern of loss of a femoral or tibial condyle following septic arthritis is consistent with total preservation of the other condyle. The outcome of surgical reconstruction of the missing condyle is poor. The presence of a complete synovial septum could result in the localisation of infection to one half of the joint, with the destruction of one condyle. Septic arthritis (dpeaa)DE-He213 Knee (dpeaa)DE-He213 Condyle loss (dpeaa)DE-He213 Missing condyle (dpeaa)DE-He213 Synovial plica (dpeaa)DE-He213 Infrapatellar plica (dpeaa)DE-He213 Siddesh, N. D. aut Shah, Hitesh aut Girisha, K. M. aut Joseph, Benjamin aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 4 vom: 19. Juli, Seite 319-325 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:4 day:19 month:07 pages:319-325 https://dx.doi.org/10.1007/s11832-012-0408-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 4 19 07 319-325
allfields_unstemmed	10.1007/s11832-012-0408-0 doi (DE-627)SPR022619100 (SPR)s11832-012-0408-0-e DE-627 ger DE-627 rakwb eng Tercier, Stéphane verfasserin aut Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose The study was undertaken to: (1) describe the characteristic radiological features and problems of management of the loss of one condyle of the femur or tibia following septic arthritis of the knee in infancy and (2) test a hypothesis of the cause of the loss of a single condyle. Methods Radiographs of eight children with the loss of one condyle of the femur or the tibia following septic arthritis in infancy were reviewed. The course and outcome in two of these children who underwent reconstructive operations were studied. The knees of 35 stillborn foetuses were dissected to determine if the presence of synovial septae could account for the isolated loss of one condyle following infection. Results All eight cases showed characteristic features of loss of half the epiphysis, the underlying physis and part of the adjacent metaphysis; the other condyle was totally spared. The two children who underwent elaborate reconstructive procedures had poor outcomes at skeletal maturity, despite a series of additional operations. The foetal cadaveric study showed that complete infrapatellar synovial septae are present in some foetuses approaching 40 weeks of gestation. Conclusions The pattern of loss of a femoral or tibial condyle following septic arthritis is consistent with total preservation of the other condyle. The outcome of surgical reconstruction of the missing condyle is poor. The presence of a complete synovial septum could result in the localisation of infection to one half of the joint, with the destruction of one condyle. Septic arthritis (dpeaa)DE-He213 Knee (dpeaa)DE-He213 Condyle loss (dpeaa)DE-He213 Missing condyle (dpeaa)DE-He213 Synovial plica (dpeaa)DE-He213 Infrapatellar plica (dpeaa)DE-He213 Siddesh, N. D. aut Shah, Hitesh aut Girisha, K. M. aut Joseph, Benjamin aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 4 vom: 19. Juli, Seite 319-325 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:4 day:19 month:07 pages:319-325 https://dx.doi.org/10.1007/s11832-012-0408-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 4 19 07 319-325
allfieldsGer	10.1007/s11832-012-0408-0 doi (DE-627)SPR022619100 (SPR)s11832-012-0408-0-e DE-627 ger DE-627 rakwb eng Tercier, Stéphane verfasserin aut Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose The study was undertaken to: (1) describe the characteristic radiological features and problems of management of the loss of one condyle of the femur or tibia following septic arthritis of the knee in infancy and (2) test a hypothesis of the cause of the loss of a single condyle. Methods Radiographs of eight children with the loss of one condyle of the femur or the tibia following septic arthritis in infancy were reviewed. The course and outcome in two of these children who underwent reconstructive operations were studied. The knees of 35 stillborn foetuses were dissected to determine if the presence of synovial septae could account for the isolated loss of one condyle following infection. Results All eight cases showed characteristic features of loss of half the epiphysis, the underlying physis and part of the adjacent metaphysis; the other condyle was totally spared. The two children who underwent elaborate reconstructive procedures had poor outcomes at skeletal maturity, despite a series of additional operations. The foetal cadaveric study showed that complete infrapatellar synovial septae are present in some foetuses approaching 40 weeks of gestation. Conclusions The pattern of loss of a femoral or tibial condyle following septic arthritis is consistent with total preservation of the other condyle. The outcome of surgical reconstruction of the missing condyle is poor. The presence of a complete synovial septum could result in the localisation of infection to one half of the joint, with the destruction of one condyle. Septic arthritis (dpeaa)DE-He213 Knee (dpeaa)DE-He213 Condyle loss (dpeaa)DE-He213 Missing condyle (dpeaa)DE-He213 Synovial plica (dpeaa)DE-He213 Infrapatellar plica (dpeaa)DE-He213 Siddesh, N. D. aut Shah, Hitesh aut Girisha, K. M. aut Joseph, Benjamin aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 4 vom: 19. Juli, Seite 319-325 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:4 day:19 month:07 pages:319-325 https://dx.doi.org/10.1007/s11832-012-0408-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 4 19 07 319-325
allfieldsSound	10.1007/s11832-012-0408-0 doi (DE-627)SPR022619100 (SPR)s11832-012-0408-0-e DE-627 ger DE-627 rakwb eng Tercier, Stéphane verfasserin aut Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose The study was undertaken to: (1) describe the characteristic radiological features and problems of management of the loss of one condyle of the femur or tibia following septic arthritis of the knee in infancy and (2) test a hypothesis of the cause of the loss of a single condyle. Methods Radiographs of eight children with the loss of one condyle of the femur or the tibia following septic arthritis in infancy were reviewed. The course and outcome in two of these children who underwent reconstructive operations were studied. The knees of 35 stillborn foetuses were dissected to determine if the presence of synovial septae could account for the isolated loss of one condyle following infection. Results All eight cases showed characteristic features of loss of half the epiphysis, the underlying physis and part of the adjacent metaphysis; the other condyle was totally spared. The two children who underwent elaborate reconstructive procedures had poor outcomes at skeletal maturity, despite a series of additional operations. The foetal cadaveric study showed that complete infrapatellar synovial septae are present in some foetuses approaching 40 weeks of gestation. Conclusions The pattern of loss of a femoral or tibial condyle following septic arthritis is consistent with total preservation of the other condyle. The outcome of surgical reconstruction of the missing condyle is poor. The presence of a complete synovial septum could result in the localisation of infection to one half of the joint, with the destruction of one condyle. Septic arthritis (dpeaa)DE-He213 Knee (dpeaa)DE-He213 Condyle loss (dpeaa)DE-He213 Missing condyle (dpeaa)DE-He213 Synovial plica (dpeaa)DE-He213 Infrapatellar plica (dpeaa)DE-He213 Siddesh, N. D. aut Shah, Hitesh aut Girisha, K. M. aut Joseph, Benjamin aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 4 vom: 19. Juli, Seite 319-325 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:4 day:19 month:07 pages:319-325 https://dx.doi.org/10.1007/s11832-012-0408-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 4 19 07 319-325
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Methods Radiographs of eight children with the loss of one condyle of the femur or the tibia following septic arthritis in infancy were reviewed. The course and outcome in two of these children who underwent reconstructive operations were studied. The knees of 35 stillborn foetuses were dissected to determine if the presence of synovial septae could account for the isolated loss of one condyle following infection. Results All eight cases showed characteristic features of loss of half the epiphysis, the underlying physis and part of the adjacent metaphysis; the other condyle was totally spared. The two children who underwent elaborate reconstructive procedures had poor outcomes at skeletal maturity, despite a series of additional operations. The foetal cadaveric study showed that complete infrapatellar synovial septae are present in some foetuses approaching 40 weeks of gestation. Conclusions The pattern of loss of a femoral or tibial condyle following septic arthritis is consistent with total preservation of the other condyle. The outcome of surgical reconstruction of the missing condyle is poor. 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D.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Shah, Hitesh</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Girisha, K. M.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Joseph, Benjamin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Journal of children's orthopaedics</subfield><subfield code="d">London : Sage, 2007</subfield><subfield code="g">6(2012), 4 vom: 19. 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author	Tercier, Stéphane
spellingShingle	Tercier, Stéphane misc Septic arthritis misc Knee misc Condyle loss misc Missing condyle misc Synovial plica misc Infrapatellar plica Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis
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topic_title	Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis Septic arthritis (dpeaa)DE-He213 Knee (dpeaa)DE-He213 Condyle loss (dpeaa)DE-He213 Missing condyle (dpeaa)DE-He213 Synovial plica (dpeaa)DE-He213 Infrapatellar plica (dpeaa)DE-He213
topic	misc Septic arthritis misc Knee misc Condyle loss misc Missing condyle misc Synovial plica misc Infrapatellar plica
topic_unstemmed	misc Septic arthritis misc Knee misc Condyle loss misc Missing condyle misc Synovial plica misc Infrapatellar plica
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title	Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis
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title_full	Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis
author_sort	Tercier, Stéphane
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author_browse	Tercier, Stéphane Siddesh, N. D. Shah, Hitesh Girisha, K. M. Joseph, Benjamin
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doi_str_mv	10.1007/s11832-012-0408-0
title_sort	loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis
title_auth	Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis
abstract	Purpose The study was undertaken to: (1) describe the characteristic radiological features and problems of management of the loss of one condyle of the femur or tibia following septic arthritis of the knee in infancy and (2) test a hypothesis of the cause of the loss of a single condyle. Methods Radiographs of eight children with the loss of one condyle of the femur or the tibia following septic arthritis in infancy were reviewed. The course and outcome in two of these children who underwent reconstructive operations were studied. The knees of 35 stillborn foetuses were dissected to determine if the presence of synovial septae could account for the isolated loss of one condyle following infection. Results All eight cases showed characteristic features of loss of half the epiphysis, the underlying physis and part of the adjacent metaphysis; the other condyle was totally spared. The two children who underwent elaborate reconstructive procedures had poor outcomes at skeletal maturity, despite a series of additional operations. The foetal cadaveric study showed that complete infrapatellar synovial septae are present in some foetuses approaching 40 weeks of gestation. Conclusions The pattern of loss of a femoral or tibial condyle following septic arthritis is consistent with total preservation of the other condyle. The outcome of surgical reconstruction of the missing condyle is poor. The presence of a complete synovial septum could result in the localisation of infection to one half of the joint, with the destruction of one condyle. © EPOS 2012
abstractGer	Purpose The study was undertaken to: (1) describe the characteristic radiological features and problems of management of the loss of one condyle of the femur or tibia following septic arthritis of the knee in infancy and (2) test a hypothesis of the cause of the loss of a single condyle. Methods Radiographs of eight children with the loss of one condyle of the femur or the tibia following septic arthritis in infancy were reviewed. The course and outcome in two of these children who underwent reconstructive operations were studied. The knees of 35 stillborn foetuses were dissected to determine if the presence of synovial septae could account for the isolated loss of one condyle following infection. Results All eight cases showed characteristic features of loss of half the epiphysis, the underlying physis and part of the adjacent metaphysis; the other condyle was totally spared. The two children who underwent elaborate reconstructive procedures had poor outcomes at skeletal maturity, despite a series of additional operations. The foetal cadaveric study showed that complete infrapatellar synovial septae are present in some foetuses approaching 40 weeks of gestation. Conclusions The pattern of loss of a femoral or tibial condyle following septic arthritis is consistent with total preservation of the other condyle. The outcome of surgical reconstruction of the missing condyle is poor. The presence of a complete synovial septum could result in the localisation of infection to one half of the joint, with the destruction of one condyle. © EPOS 2012
abstract_unstemmed	Purpose The study was undertaken to: (1) describe the characteristic radiological features and problems of management of the loss of one condyle of the femur or tibia following septic arthritis of the knee in infancy and (2) test a hypothesis of the cause of the loss of a single condyle. Methods Radiographs of eight children with the loss of one condyle of the femur or the tibia following septic arthritis in infancy were reviewed. The course and outcome in two of these children who underwent reconstructive operations were studied. The knees of 35 stillborn foetuses were dissected to determine if the presence of synovial septae could account for the isolated loss of one condyle following infection. Results All eight cases showed characteristic features of loss of half the epiphysis, the underlying physis and part of the adjacent metaphysis; the other condyle was totally spared. The two children who underwent elaborate reconstructive procedures had poor outcomes at skeletal maturity, despite a series of additional operations. The foetal cadaveric study showed that complete infrapatellar synovial septae are present in some foetuses approaching 40 weeks of gestation. Conclusions The pattern of loss of a femoral or tibial condyle following septic arthritis is consistent with total preservation of the other condyle. The outcome of surgical reconstruction of the missing condyle is poor. The presence of a complete synovial septum could result in the localisation of infection to one half of the joint, with the destruction of one condyle. © EPOS 2012
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title_short	Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis
url	https://dx.doi.org/10.1007/s11832-012-0408-0
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author2	Siddesh, N. D. Shah, Hitesh Girisha, K. M. Joseph, Benjamin
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up_date	2024-07-03T14:04:02.585Z
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Methods Radiographs of eight children with the loss of one condyle of the femur or the tibia following septic arthritis in infancy were reviewed. The course and outcome in two of these children who underwent reconstructive operations were studied. The knees of 35 stillborn foetuses were dissected to determine if the presence of synovial septae could account for the isolated loss of one condyle following infection. Results All eight cases showed characteristic features of loss of half the epiphysis, the underlying physis and part of the adjacent metaphysis; the other condyle was totally spared. The two children who underwent elaborate reconstructive procedures had poor outcomes at skeletal maturity, despite a series of additional operations. The foetal cadaveric study showed that complete infrapatellar synovial septae are present in some foetuses approaching 40 weeks of gestation. Conclusions The pattern of loss of a femoral or tibial condyle following septic arthritis is consistent with total preservation of the other condyle. The outcome of surgical reconstruction of the missing condyle is poor. 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Loss of a condyle of the femur or tibia following septic arthritis in infancy: problems of management and testing of a hypothesis of pathogenesis

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