Tibial defect due to acute haematogenous osteomyelitis: treatment and results in twenty-one children

Fowles, J. V.; Lehoux, Jean; Zlitni, M.; Kassab, M T; Nolan, B.

doi:10.1302/0301-620x.61b1.422639

Cited by 22 publications

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“…The aforementioned situation renders surgical interference more risky because of the possibility of skin sloughing and recurrent infection [1][2][3]9,14]. The aforementioned situation renders surgical interference more risky because of the possibility of skin sloughing and recurrent infection [1][2][3]9,14].…”

Section: Discussionmentioning

confidence: 99%

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Ilizarov treatment for pseudarthrosis of the tibia due to haematogenous osteomyelitis

El-Rosasy

2013

Journal of Pediatric Orthopaedics B

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Haematogenous osteomyelitis is associated with poverty and overcrowding. The infection may extend through the entire length of a long bone and as a part of debridement, the sequestrum may be removed, resulting in a defect. Infection of tibial growth plates would result in altered growth rates of the tibia and fibula and produce deformities and shortening. Fourteen children were treated for pseudarthrosis of the tibia because of haematogenous osteomyelitis. Their ages ranged from 4 to 13 years. There were nine male and five female children. The treatment included the use of Ilizarov techniques in the form of distraction of a stiff pseudarthrosis (n=5) and acute shortening and relengthening for bone defects (n=9). No active infection was present at the time of treatment. In all cases, the bone defects were bridged and consolidated. No residual infection was present. Transient palsy of the common peroneal nerve occurred in two cases during deformity correction and lengthening. Refracture occurred in one case at the site of a previous wire. Residual leg shortening of more than 1 inch was present in two cases. The results were satisfactory in 12 cases (86%) and unsatisfactory in two cases (14%) because of residual shortening and ankle joint fusion. Ilizarov techniques comprehensively address the problems associated with chronic haematogenous osteomyelitis of the tibia in children despite the difficulties in their application because of the nature of the illness.

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Section: Discussionmentioning

confidence: 99%

“…As a result of tibial shortening relative to the fibula, the proximal tibiofibular joint may subluxate or dislocate, the fibula bends and hypertrophy and deformities subsequently develop at the knee, ankle and foot [1][2][3]. The most frequently affected bones are the tibia, femur and humerus.…”

Section: Introductionmentioning

confidence: 99%

Ilizarov treatment for pseudarthrosis of the tibia due to haematogenous osteomyelitis

El-Rosasy

2013

Journal of Pediatric Orthopaedics B

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“…The reasoning behind this is to minimise the risk of complications such as fracture, nonunion, deformity and segmental bone loss, which may occur if surgery is performed early. [26][27][28] Some reports have advocated delaying surgery on the grounds that the sequestrum may be absorbed while the involucrum is developing. 29,30 Other authors recommend early sequestrectomy to eradicate infection and provide a better environment for the periosteum to respond, and to minimise damage to the surrounding soft tissues.…”

Section: Timing Of Surgerymentioning

confidence: 99%

Chronic haematogenous osteomyelitis in children

Jones

Beckles

Akinola

et al. 2011

The Journal of Bone and Joint Surgery. British volume

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From a global point of view, chronic haematogenous osteomyelitis in children remains a major cause of musculoskeletal morbidity. We have reviewed the literature with the aim of estimating the scale of the problem and summarising the existing research, including that from our institution. We have highlighted areas where well-conducted research might improve our understanding of this condition and its treatment.

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“…Injection of contrast material (sinogram) or methylene blue preoperatively may help to better define the anatomy of a sinus. 11 Although the extraperiosteal exposure may be wide, the subperiosteal exposure should be limited to the area of bone to be removed to preserve the local blood supply. All sequestra should be removed and any devitalized tissue should be curetted.…”

Section: Discussionmentioning

confidence: 99%

Chronic Suppurative Osteomyelitis of Subcondylar Region: A Case Report

Kumar

Syed

Prasad

et al. 2013

International Journal of Clinical Pediatric Dentistry

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Chronic suppurative osteomyelitis (CSO) of the maxillofacial region is primarily caused by infections of odontogenic microorganisms. It may also arise as a complication of dental extractions, maxillofacial trauma, inadequate treatment of a fracture and irradiation to the mandible. This condition is characterized by areas of devitalized bone (sequestra) which serves as a nidus for recurrent episodes of infection. This case report describes a case of CSO in an untreated right subcondylar fracture of the mandible which was successfully treated with a combination of antibiotic therapy and surgical debridement in an 8-year-old boy.How to cite this article: Kumar GR, Syed BA, Prasad N, Praveen SP. Chronic Suppurative Osteomyelitis of Subcondylar Region: A Case Report. Int J Clin Pediatr Dent 2013;6(2): 119-123.

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Tibial defect due to acute haematogenous osteomyelitis: treatment and results in twenty-one children

Abstract: TREATMENT AND RESULTS IN TWENTY-ONE CHILDREN to 14 centimetres, with an average of4 centimetres. The tibial remnants were often mere bony spicules, too long, thin and fragile to be useful in reconstructive surgery.

Cited by 22 publications

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Ilizarov treatment for pseudarthrosis of the tibia due to haematogenous osteomyelitis

Ilizarov treatment for pseudarthrosis of the tibia due to haematogenous osteomyelitis

Chronic haematogenous osteomyelitis in children

Chronic Suppurative Osteomyelitis of Subcondylar Region: A Case Report

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