Long-term results of treatment including creation of a gutter and muscle transposition for chronic sclerosing osteomyelitis

Lok,; E, Bal; Sebik, Ahmet; Aydınok, Hilmi Cetin

doi:10.3944/aott.2009.510

Cited by 4 publications

(2 citation statements)

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“…There are no published data that address this type of medical management in pediatric orthopedic patients with long-bone involvement. Surgical management recommendations are varied, ranging from fenestration of the involved area to intramedullary reaming, and most aggressively to wide resection and reconstruction with either bone transport or free bone and tissue transfer [10,[12][13][14][15]. Little beyond fenestration and symptomatic management has been reported in children with long-bone abnormalities, although there is one recent report on wide resection of an involved area of the tibia and reconstructive bone transport [10].…”

Section: Discussionmentioning

confidence: 99%

Sclerosing osteomyelitis as a complication of pediatric femur fracture fixation

Mooney

2014

Journal of Pediatric Orthopaedics B

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Complications of flexible nailing of pediatric femur fractures include angular and rotational malunions, leg-length discrepancy, and, in rare instances, infection. To our knowledge, the development of a sclerosing type of chronic osteomyelitis, which appears most similar to chronic sclerosing osteomyelitis of Garre', has not been reported as a complication of, or associated with, flexible nail fixation of a pediatric femur fracture.

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Section: Discussionmentioning

confidence: 99%

Sclerosing osteomyelitis as a complication of pediatric femur fracture fixation

Mooney

2014

Journal of Pediatric Orthopaedics B

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“…Despite advances in surgical techniques and antibiotic therapy, chronic osteomyelitis continues to challenge the orthopaedic surgeon and different treatment approaches have been reported with varying results [10,21,22]. The aim of treatment is the creation of a viable, vascularized base which promotes nutrition, oxygenation and healing.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Outcome of Treatment of Chronic Osteomyelitis by Surgical Debridement with and without Local Antibiotic Delivery System: Experience from a Nigerian Teaching Hospital

Ikpeme¹,

Oku²,

Ngim³

et al. 2013

IJCM

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Background: Chronic osteomyelitis is still common in the developing world and presents a continuing therapeutic challenge. Antibiotics cannot penetrate the dense fibrotic scar tissue that surrounds infected and avascular bone which perpetuates the infection. Surgical debridement/sequestrectomy is the cornerstone to treatment and aims to create a viable, vascularized base which promotes healing. Surgical debridement necessarily creates a dead space which must be dealt with to prevent re-infection. Local antibiotic delivery systems serve the dual purpose of obliterating dead space and creating a sterile local environment with high bactericidal concentrations. Aim: To determine the outcomes in patients with chronic osteomyelitis who received debridement/sequestrectomy alone, and those who received the procedure combined with a local antibiotic delivery system in the University of Calabar Teaching Hospital. Patients and Methods: A prospective descriptive analysis of patients managed surgically for chronic osteomyelitis from July 2007 to December, 2012. Patients’ biodata, aetiology, organisms, treatment options and outcomes were analysed. Results: Forty-four patients presented with the condition and accepted surgery. Male:Female ratio was 2.1:1, and mean age was 27.27 ± 17.48 years. The tibia was the most commonly affected bone (45.5%), Staphylococcus aureus was the commonest organism (56.8% of sinus cultures; 73% of marrow/sequestral cultures) and previous acute haematogenous osteomyelitis was the commonest mechanism. The use of a local antibiotic delivery system improved cure rates from 57.7% to 77.8%). Conclusion: Multiple surgical interventions increase the socioeconomic costs of treating this condition and have a direct impact on the economies of individuals especially in the developing world. Surgical interventions should aim at achieving maximum impact w...