alexa The Orthopaedic Consequences of Childhood Meningococcal Septicaemia | OMICS International| Abstract

Journal of Meningitis

  • Research Article   
  • J Meningitis 2016, Vol 1(2)
  • DOI: 10.4172/2572-2050.1000109

The Orthopaedic Consequences of Childhood Meningococcal Septicaemia

Tomos Aled Edwards1, Lowri Bowen2, Fiona Bintcliffe2, James Aird2 and Fergal Monsell2*
1Buckinghamshire Healthcare, NHS Trust, Amersham, United Kingdom
2Department of Orthopaedics, Royal Hospital for Children, Upper Maudlin Street, Bristol, United Kingdom
*Corresponding Author : Fergal Monsell, Department of Orthopaedics, Royal Hospital for Children, Upper Maudlin Street, Bristol, United Kingdom, Tel: 0117 342 8892, Email: [email protected]

Received Date: Jul 08, 2016 / Accepted Date: Sep 19, 2016 / Published Date: Sep 26, 2016

Abstract

Purpose: The aim of this study is to use a defined population of patients with meningococcal septicaemia to calculate the incidence of orthopaedic complications.

Methods: Medical records and radiographs were analysed retrospectively for all patients admitted to the Paediatric Intensive Care Unit (PICU) of the Bristol Royal Hospital for Children from 01/01/2001 to 31/12/2012 with a primary diagnosis of meningococcal septicaemia.

Results: Of the 130 patients with meningococcal septicaemia alive at discharge, 10 developed orthopaedic sequelae, representing an overall incidence in this patient population of 7.7%. 9 patients required an amputation, 8 patients had growth plate abnormalities with 6 having documented angular deformity.

Clinical relevance: This study highlights the underestimation of orthopaedic complications following meningococcal septicaemia. Close follow up of at risk patients should be considered to reduce the potential impact of these debilitating injuries.

Keywords: Amputation; Orthopaedic; Tibia; Ischaemia; Periosteum

Citation: Edwards TA, Bowen L, Bintcliffe F, Aird J, Monsell F (2016) The Orthopaedic Consequences of Childhood Meningococcal Septicaemia. J Meningitis 1:109. Doi: 10.4172/2572-2050.1000109

Copyright: ©2016 Edwards TA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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