{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:52:46Z","timestamp":1787165566075,"version":"build-2736575974"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,4,8]],"date-time":"2019-04-08T00:00:00Z","timestamp":1554681600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Septic arthritis in children is a joint threatening condition with potentially severe consequences; however, long\u2010term outcome data is lacking. This study aims to determine 1\u201320\u2010year outcomes following septic arthritis of hip and knee joints in children in an Australian population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All paediatric patients with septic arthritis of the hip or knee from 1995 to 2015 treated at our Australian institution were retrospectively assessed. Clinical features, treatment and investigation results were recorded. Long\u2010term functional and radiological outcomes, infection recurrence and reoperation rate at final follow\u2010up (mean 8.5\u2009years, range 1.0\u201320.3; hip versus mean 7.7\u2009years, range 1.1\u201320.3; knee) were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty\u2010four patients (37 hip, 27 knee) met inclusion criteria. Fifty\u2010two patients (81.3%) attended follow\u2010up. No mortalities or late infection recurrence occurred. Three patients (1; hip versus 2; knee) had a later operation. Median Oxford scores were excellent (48; hip versus 48; knee); however, a significant proportion had a degree of impaired function (31.3%; hip versus 42.1%; knee). Radiological outcomes were excellent in knees more commonly than hips (81.3%; hip versus 100%; knee).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Outcomes at 1\u201320\u2009years for the majority of patients following septic arthritis of the hip and knee are excellent with early joint irrigation and intravenous antibiotics. Our results demonstrate a significant proportion of patients following septic hip arthritis have mild to moderately poor functional and radiological outcomes. Those with septic knee arthritis demonstrated universally excellent radiological outcomes and mild functional impairment in approximately one\u2010third of cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.15139","type":"journal-article","created":{"date-parts":[[2019,4,8]],"date-time":"2019-04-08T19:51:06Z","timestamp":1554753066000},"page":"562-566","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Outcomes of paediatric septic arthritis of the hip and knee at 1\u201320\u2009years in an Australian urban centre"],"prefix":"10.1111","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2896-8537","authenticated-orcid":false,"given":"Roseanna L.","family":"Hoswell","sequence":"first","affiliation":[{"name":"The Bone and Joint Institute Royal Newcastle Centre  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenton P.","family":"Johns","sequence":"additional","affiliation":[{"name":"The Bone and Joint Institute Royal Newcastle Centre  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark R.","family":"Loewenthal","sequence":"additional","affiliation":[{"name":"Department of Immunology and Infectious Diseases Royal Newcastle Centre  Newcastle New South Wales Australia"},{"name":"School of Medicine and Public Health Faculty of Health and Medicine, The University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Dewar","sequence":"additional","affiliation":[{"name":"The Bone and Joint Institute Royal Newcastle Centre  Newcastle New South Wales Australia"},{"name":"School of Medicine and Public Health Faculty of Health and Medicine, The University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,8]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"279","article-title":"Septic arthritis in children: a 20\u2010year study","volume":"87","author":"Ahmed H","year":"2005","journal-title":"J. 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