Lateral hip incision and lavage

Lateral lateral incision lavage for surgical treatment of septic hip arthritis. In the incisions of the hip joint, the lateral incision is shallow and direct, and only the iliac bundle is separated into the tensor fascia lata, and the other muscles are not damaged. Curing disease: Indication 1. Early septic arthritis for the incision and drainage of the early suppurative joints, actually cutting the switch joints for cleaning. The operation of placing the drainage tube to suture the joint is different from that of the late stage. 2. In patients with advanced septic arthritis closed drainage can not be controlled, it is to open the drainage, and the open switch section is not sutured. Preoperative preparation For blood-borne septic arthritis, antibiotics are used before surgery to improve the general condition and local fixation. Once the exudate or pus is extracted by the joint puncture, the smear Gram stain is immediately applied to find the bacteria. If it is positive, there is no need to wait. Instead, surgery should be done as soon as possible. For infants and children, those who can not be diagnosed under local anesthesia can be operated according to other signs, joint puncture under anesthesia, and exudate or pus. Surgical procedure 1. Incision: an arc-shaped incision centered on the large trochanter, about 10cm long, the distal end is curved forward, and the tendon bundle is cut along the direction of the incision. The proximal side is in the tensor fascia and the gluteus medius and small muscle. Separately, the fascia lata muscles are slightly retracted forward, that is, the front of the large trochanter is displayed, and the proximal side is the gluteus medius and the small muscle, and the distal side is the lateral femoral muscle. Before the large trochanter, it is separated inward along the hip joint capsule, and the soft tissue is separated upwards and downwards, that is, the front of the hip joint capsule is displayed, and the inner side is the iliopsoas muscle, which is retracted by the plate hook, and the joint capsule is completely in front. Revealed. 2. T-shaped incision on the joint capsule, enter the joint, rinse the pus, put a silicone tube or plastic tube on the front and the front of the joint, and the distal end of the joint is made through a small incision. The wound was washed with saline and the incision was sutured layer by layer.

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