The clinical features and surgical treatment of acute septic arthritis in Malawian children
Introduction: Untreated and poorly treated septic arthritis in children is a major cause of orthopaedic pathology in Malawi and the rest of sub Saharan Africa, yet little has been published on its early treatment, or its incidence, clinical features and bacteriology. This is the first prospective study to compare simple aspiration with surgical arthrotomy and lavage. Questions about septic arthritis the thesis will consider: 1. What is the incidence? 2. What are the clinical features? 3. What is the bacteriology? 4. Is there a difference in outcome between treatment by aspiration and arthrotomy with lavage? Methodology: Two studies were performed. The first was an incidence study in a relatively closed population area. The second was a prospective study of 204 patients under the age of 16 with septic arthritis, randomised to treatment by aspiration (group 1) or arthrotomy and lavage (group 2), then followed up clinically, radiologics I ly and haematologically for one year.