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International Orthopaedics

, Volume 19, Issue 4, pp 238–241 | Cite as

Incorporation of diaphyseal sequestra in chronic haematogenous osteomyelitis

  • A. K. Jain
  • D. K. Sharma
  • S. Kumar
  • A. Sethi
  • A. Arora
  • S. M. Tuli
Article

Summary

Seventeen patients with haematogenous osteomyelitis and long diaphyseal sequestra are reported. Treatment was incision and drainage with antibiotics for at least 6 to 8 weeks, the limb being protected in plaster for a long time. The sequestra became incorporated in every case. Sequestrectomy should only be undertaken when successive radiographs show no reduction in size of the sequestrum and an increase in the amount of the involucrum.

Keywords

Osteomyelitis Pathological Fracture Chronic Osteomyelitis Vascularised Bone Graft Spontaneous Regeneration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Etude de 17 patients, le plus jeune âgé de 7 mois et le plus vieux de 20 ans porteurs d'une ostéomyélite hématogène avec grande séquestration diaphysaire. L'incorporation du séquestre diaphysaire sera finalement obtenue dans tous les cas. Nous pensons que l'ostéomyélite hématogène chronique avec séquestration diaphysaire doit être traitée avec une intervention chirurgicale à minima sous forme d'incision et de drainage et d'un traitement antibiotique (de 6 à 8 semaines initialement et éventuellement répété selon l'évolution) et d'une immobilisation plâtrée de longue durée. L'indication de séquestrectomie sera posée seulement si la surveillance radiologique ne montre pas de réduction en taille du séquestre et une augmentation de l'involucrum.

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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • A. K. Jain
    • 1
  • D. K. Sharma
    • 1
  • S. Kumar
    • 1
  • A. Sethi
    • 1
  • A. Arora
    • 1
  • S. M. Tuli
    • 1
  1. 1.University College of Medical Sciences and Guru Teg Bahadur HospitalShahdara, DelhiIndia

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