Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Nov 18, 2022; 13(11): 993-1005
Published online Nov 18, 2022. doi: 10.5312/wjo.v13.i11.993
Septic arthritis of the hand: From etiopathogenesis to surgical treatment
Konstantin V Lipatov, Arthur Asatryan, George Melkonyan, Aleksandr D Kazantcev, Ekaterina I Solov’eva, Irina V Gorbacheva, Alexander S Vorotyntsev, Andrey Y Emelyanov
Konstantin V Lipatov, Aleksandr D Kazantcev, General Surgery Department, Institute of Clinical Medicine named after N.V. Sklifosovsky, Sechenov First Moscow State Medical University (Sechenov University), Moscow 119021, Russia
Arthur Asatryan, General Surgery Department, State Budgetary Institution “City Clinical Hospital named after S.S. Yudin of Moscow Healthcare Department”, Moscow 115142, Russia
George Melkonyan, General Surgery Department, The Hospital for War Veterans N3, Moscow 129336, Russia
Ekaterina I Solov’eva, Irina V Gorbacheva, Alexander S Vorotyntsev, Andrey Y Emelyanov, General Surgery Department, I.M. Sechenov First Moscow State Medical University, Moscow 119991, Russia
Author contributions: Lipatov KV performed conceptualization and manuscript writing, review, and editing; Asatryan A and Melkonyan G performed methodology and writing of the original draft; Kazantcev AD performed visualization and manuscript writing, review, and editing; Solov’eva EI and Gorbacheva IV performed investigation and writing of the original draft; Vorotyntsev AS and Emelyanov AY performed formal analysis and supervision.
Institutional review board statement: The study was reviewed and approved by the I.M. Sechenov First Moscow State Medical University Institutional Review Board (Approval No. 03-22).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors have no conflict of interest related to the manuscript.
Data sharing statement: The original anonymous dataset is available on request from the corresponding author at lipatov_k_v@staff.sechenov.ru.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Konstantin V Lipatov, Doctor, MD, Doctor, Full Professor, General Surgery Department, Institute of Clinical Medicine named after N.V. Sklifosovsky, Sechenov First Moscow State Medical University (Sechenov University), 11-2 Rossolimo Street, Moscow 119021, Russia. lipatov_k_v@staff.sechenov.ru
Received: July 26, 2022
Peer-review started: July 26, 2022
First decision: September 26, 2022
Revised: October 3, 2022
Accepted: October 27, 2022
Article in press: October 27, 2022
Published online: November 18, 2022
Processing time: 112 Days and 16.5 Hours
Core Tip

Core Tip: The timing of surgical treatment initiation is extremely important in septic arthritis of the hand. Prompt and timely surgical intervention can prevent the destruction of cartilage and the development of osteomyelitis. In the presence of osteomyelitis, surgical debridement followed by early rehabilitation aimed at developing neoarthrosis may be an alternative to traditional treatment using arthrodesis. This conception makes it possible to largely preserve the range of active motions in the affected joint.