Trochanteric Advancement and Limb Lengthening by Monorail External Fixator in Sequelae of the Septic Hip in Children - A Simpler Alternative to Other Complex Procedures.

Introduction Acute septic arthritis of the hip in children requires prompt diagnosis and treatment. The resulting sequelae of septic arthritis are diverse. Varieties of procedures have been described in the orthopedic literature. The common goal of treatment of all these procedures is to achieve a mobile, stable, pain-free hip joint with minimal limp and limb length inequality. Case Report We present two cases of Choi's Type 2 septic hip sequelae, a 14-year-old female and a 13-year-old male, both had painless limp and limb length discrepancy managed by greater trochanteric advancement with limb lengthening by monorail external fixator at single sitting. Conclusion Distal greater trochanteric advancement with limb lengthening by monorail external fixator is a useful technique to treat septic hip sequelae with stable hip joint.