- Discussion:
- predisposing conditions:
- open fracture (traumatic tibia infections)
- sickle cell anemia
- septic arthritis
- in children, distinguishing between metaphyseal osteomyelitis and septic arthritis can be problematic;
- diabetes (see osteomyelitis in the diabetic patient);
- pathophysiology:
- staph aureus osteomyelitis is unique in that there is an ability to survive and hide withing osteocytes;
- Intracellular Staphylococcus aureus. A mechanism for the indolence of osteomyelitis.
- In vivo internalization of Staphylococcus aureus by embryonic chick osteoblasts.
- Internalization of bacteria by osteoblasts in a patient with recurrent, long-term osteomyelitis. A case report.
- Osteomyelitis and Intraosteoblastic. Staphylococcus aureus
- classification:
- hematogenous osteomyelitis
- cierny classification
- chronic osteomyelitis
- tibia fracture infection
- vertebral osteomyelitis
- characteristics based on age:
- osteomyelitis in infants
- osteomyelitis in children
- Laboratory and Radiographic Workup for Osteomyelitis:
- radiographic findings of hematogenous osteo
- ref: Images in Clinical Medicine. Bone within Bone — Chronic Osteomyelitis
- Traumatic Osteomyelitis:
- antibiotic beads vs vancomycin in calcium sulfate
- medications for osteomyelits
- treatment based on location:
- spinal osteomyelitis
- tibial osteomyelitis
- femoral osteomyelitis following IM nailing
- osteomyelitis of the foot
- debridement of sequestra
- soft tissue coverage:
- The Muscle Flap in the Treatment of Chronic Lower Extremity Osteomyelitis: Results in Patients Over 5 Years After Treatment.
- Local muscle flaps in the treatment of chronic osteomyelitis.
- References for Osteomyelitis:
- Osteomyelitis
- Surgical Treatment Osteomyelitis
The classic: The treatment of chronic osteomyelitis with the maggot (larva of the blow fly). 1931.