scholarly journals Different management modalities in chronic osteomyelitis of long bones following open fractures: A case series

2018 ◽  
Vol 4 (4) ◽  
pp. 586-590
Author(s):  
Dr. Georgekutty . ◽  
Dr Alen Sigamani ◽  
Dr. Manesh Stephen
2012 ◽  
Vol 19 (05) ◽  
pp. 719-722
Author(s):  
FAAIZ ALI SHAH ◽  
ZAHIR KHAN ◽  
WAHID ALI ◽  
Zulfiqar Ali Durrani

Objectives: To determine the causative organism of long bone chronic osteomylitis through culture of the sequestrum. Studydesign: Descriptive case series. Setting and duration: Orthopaedic Surgery Unit, Mardan Medical Complex Teaching hospital, Bacha KhanMedical College, Mardan, KPK, Pakistan from September 2011 to April 2012. Methodology: Twenty five patients with radiologically provenchronic osteomyelitis of long bones who had been free of antibiotic therapy for at least 48 hours, excluding those with diabetic foot, decubitusulcers, and infected implant. At least one specimen of sequestrum was taken from each individual and subjected to complete microbiologicanalysis. Results: Staphylococcus aureus was the most frequently found organism (n=11, 44%), followed by Enterobacteriaceae (n=5, 20%),coagulase-negative staphylococci (n=3,12%) Escherichia coli (n=2, 8%) P aeruginosa (n=1, 4%), Streptococcus species (n=1, 4%) and nogrowth (n=2, 8%).More than one microorganism was isolated in two (8%) patients. Conclusions: Staphylococcus aureus was the mostcommon organism isolated. Sequestrum culture provides accurate identification of causative bacteria.


1994 ◽  
Vol 37 (2) ◽  
pp. 230-236 ◽  
Author(s):  
Kazuhiko Yokoyama ◽  
Masateru Shindo ◽  
Moritoshi Itoman ◽  
Makoto Yamamoto

2021 ◽  
Vol 19 (3) ◽  
pp. 144-151
Author(s):  
P. E. ELDZAROV ◽  

The work is devoted to improving the effectiveness of treatment of patients with complications and consequences of fractures of the long bones of the extremities by improving and developing new surgical techniques aimed at early individual social and household rehabilitation due to the maximally complete and rapid restoration of the integrity and functions of the damaged segment. Reconstructive operations were performed in 285 patients with delayed fracture consolidation, incorrectly fused fractures, false joints, and false joints with chronic osteomyelitis. The analysis of the applied treatment methods effectiveness from the viewpoint of optimizing the treatment process allowed us to develop an algorithm for the surgical treatment of patients with complications and consequences of fractures of the long bones of the extremities. The use of the proposed algorithm in surgical treatment maximally eliminates possible errors and increases the treatment effectiveness.


Injury ◽  
2021 ◽  
Author(s):  
Kodi Edson Kojima ◽  
Fernando Brandão de Andrade e Silva ◽  
Marcos de Camargo Leonhardt ◽  
Vladimir Cordeiro de Carvalho ◽  
Priscila Rosalba Domingos de Oliveira ◽  
...  

Author(s):  
Bayu Antara Hadi ◽  
Mouli Edward

ABSTRACTMusculoskeletal tumors are potential causes of heavy morbidity and economic burdens for patients. There are often cases suspected as musculoskeletal tumors based on a specific diagnostic modality because of overlapping features upon physical examination or a tumor-like appearance from the radiological examination, the more reason for triple diagnosis to be performed for an exact diagnosis.  We report 5 cases of fractures tumor-mimicking lesions. The First patient, a patient with MRI revealing a primary malignant bone tumor, but with plain thorax x-ray and FNAB, the diagnosis was tuberculosis arthritis of the elbow. The second patient shows metastatic proses with plain radiographic, but from open biopsy, the diagnoses fall to chronic osteomyelitis. The third patient had a history of papillary carcinoma thyroid with pathological fracture of proximal of the left femur, but the biopsy shows a hypercalcemic state. The fourth patient, had mass size 20x15 cm at the thigh, but the biopsy shows Non-Specific Chronic Osteomyelitis. The fifth patient with progressive swelling of the left knee for one year, 10x10 cm in size, the biopsy showed no sign of malignancy but tuberculosis of left distal femur. In conclusion, standard comprehensive diagnosis steps consisting of clinical history, imaging, laboratory and histopathological examinations are crucial to differentiate tumor-mimicking lesions from neoplasms, thus ensuring proper treatment.Keywords: Tumour mimicking, osteosarcoma, chondroma, malignancy


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