Chronic Osteomyelitis in Children

  • J. Norgrove Penny
  • David A. SpiegelEmail author


Children with bacterial chronic osteomyelitis typically present at advanced stages in austere environments, making treatment complex, lengthy, and less likely to achieve eradication of infection and adequate return of function. However, childrens’ capacity to repair and remodel diseased bone, especially with an intact periosteum, makes them candidates for all efforts to treat this disabling condition. Acute osteomyelitis evolves into a chronic state of infection in which there is persistent devitalized bone and/or debris. The definition of when an acute infection becomes “chronic” is somewhat arbitrary, as reflected in the classification system and treatment options.


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Branch for International Surgical Care, University of British ColumbiaVictoriaCanada
  2. 2.Division of Orthopedic Surgery, Children’s Hospital of PhiladelphiaUniversity of Pennsylvania School of MedicinePhiladelphiaUSA
  3. 3.Hospital and Rehabilitation Centre for Disabled Children (HRDC)BanepaNepal

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