{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T06:18:20Z","timestamp":1778048300698,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2020,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>We undertook a retrospective study to stratify the effect of patient\u2019s age, delay in surgical drainage, and Staphylococcus aureus (SA) virulence on expected clinicoradiological outcomes following suppurative arthritis of hip joint in a walking child.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods:<\/jats:title>\n                    <jats:p>The study was conducted in 18 children over 2 years of age who suffered from joint fluid culture-positive SA arthritis of hip joint and treated with open arthrotomy. Outcomes were defined on the following criteria: age of child (\u22655 years or &lt;5 years), duration of symptoms elapsed before surgical intervention (\u22655 days or &lt;5 days), and virulence of SA (methicillin-resistant Staphylococcus aureus (MRSA)\/methicillin-sensitive Staphylococcus aureus)). The final clinical results were graded according to Moon\u2019s clinical criteria and radiologically by types described by Choi et al.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean patient age was 6.22 years at the time of index procedure. The average delay in surgery was 17.06 days. Follow-up averaged 15.28 months. Five patients had associated with osteomyelitis femur in preoperative radiographs. MRSA culture was grown in 8 hips (44.4%) of 18 hips. Unsatisfactory clinical results according to Moon\u2019s criteria were obtained in 55.6% patients with 38.9% being MRSA infected. Unsatisfactory Choi\u2019s radiological results were present in 33.3% patients, 27.8% under MRSA category. Our study did not find age to be a significant factor either in clinical or radiological outcome. The clinical results were unsatisfactory in 81.8% patients with surgical delays when compared to early surgery ( p &lt; 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The clinicoradiological outcome in suppurative hip arthritis of walking children was unsatisfactory when there was delay in treatment beyond 5 days, and the causative organism was virulent (MRSA). The presence of preoperative joint incongruency or osteomyelitis of proximal femur was another risk factor.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2309499020910974","type":"journal-article","created":{"date-parts":[[2020,3,30]],"date-time":"2020-03-30T07:57:35Z","timestamp":1585555055000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Suppurative arthritis of hip in a walking child: Effect of patient\u2019s age, delay in surgical drainage, and organism virulence"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8646-0926","authenticated-orcid":false,"given":"Anil","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vimal","family":"Kumar KH","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,3,30]]},"reference":[{"key":"bibr1-2309499020910974","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-21-10-632"},{"key":"bibr2-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-008-0094-0"},{"key":"bibr3-2309499020910974","first-page":"40","volume":"3","author":"Mue D","year":"2013","journal-title":"J West Afr Coll Surg"},{"key":"bibr4-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B1.17940"},{"key":"bibr5-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e32835c530a"},{"key":"bibr6-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199208000-00021"},{"key":"bibr7-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198309000-00008"},{"key":"bibr8-2309499020910974","first-page":"81","volume":"139","author":"Lunseth PA","year":"1979","journal-title":"Clin Orthop Relat Res"},{"key":"bibr9-2309499020910974","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658030-00017"},{"key":"bibr10-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.52B3.474"},{"key":"bibr11-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e32836027ca"},{"key":"bibr12-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181bd1e0c"},{"key":"bibr13-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000242431.91489.b4"},{"key":"bibr14-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198211000-00004"},{"key":"bibr15-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200505000-00015"},{"key":"bibr16-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2005.09.005"},{"key":"bibr17-2309499020910974","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072080-00005"},{"key":"bibr18-2309499020910974","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2015.7.1.110"},{"key":"bibr19-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e3283150659"},{"key":"bibr20-2309499020910974","first-page":"154","volume":"190","author":"Moon MS","year":"1984","journal-title":"Clin Orthop Relat Res"},{"key":"bibr21-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1007\/s004020100280"},{"key":"bibr22-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2005.02.005"},{"key":"bibr23-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B9.22530"},{"key":"bibr24-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)30885-3"},{"key":"bibr25-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2017.11.007"},{"key":"bibr26-2309499020910974","first-page":"342","volume":"39","author":"Yuan HC","year":"2006","journal-title":"J Microbiol Immunol Infect"},{"key":"bibr27-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000439"},{"key":"bibr28-2309499020910974","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2005.04.003"},{"key":"bibr29-2309499020910974","first-page":"302","volume":"8","author":"Christiansen P","year":"1999","journal-title":"J Pediatr Orthop B"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2309499020910974","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2309499020910974","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2309499020910974","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:29:08Z","timestamp":1777595348000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2309499020910974"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,1]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1,1]]}},"alternative-id":["10.1177\/2309499020910974"],"URL":"https:\/\/doi.org\/10.1177\/2309499020910974","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,1]]},"article-number":"2309499020910974"}}