Abstract
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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References
Spiegel DA, Penny JN. Chronic osteomyelitis in children. Tech Orthop. 2005;20:142–52. Available at https://www.global-help.org.
Jones HW, Harrison JW, Bates J, Evans GA, Lubega N. Radiologic classification of chronic hematogenous osteomyelitis in children. J Pediatr Orthop. 2009;29:822–7.
Additional Resources
Agiza AR. Treatment of tibial osteomyelitic defects and infected pseudarthroses by the Huntington fibular transference operation. J Bone Joint Surg. 1981;63a:814–9.
Beckles VL, Jones HW, Harrison JW. Chronic hematogenous osteomyelitis in children: a retrospective review of 167 patients in Malawi. J Bone Joint Surg Br. 2010;92:1138–43.
Cierny G 3rd. Surgical treatment of osteomyelitis. Plast Reconstr Surg. 2011;127:190–204.
Daoud A, Saighi-Bouaouina A. Treatment of sequestra, pseudarthroses, and defects in the long bones of children who have chronic hematogenous osteomyelitis. J Bone Joint Surg. 1989;71a:1448–68.
Fowles JV, Lehoux J, Zlitni M, Kassab MT, Nolan B. Tibial defect due to acute haematogenous osteomyelitis: treatment and results in twenty-one children. J Bone Joint Surg Br. 1979;61:77–81.
Jones HW, Beckles VL, Akinola B, Stevenson AJ, Harrison WJ. Chronic hematogenous osteomyelitis in children: an unsolved problem. J Bone Joint Surg Br. 2011;93:1005–10.
Motsitsi NS. Masquelet’s technique for management of long bone defects: from experiment to clinical application. East Cent Afr J Surg. 2012;17:43–7. (Open Access). Available at http://www.bioline.org.br/abstract?id=js12034&lang=en.
Rahimnia A, Fitoussi F, Pennecot G, Mazda K. Treatment of segmental loss of the tibia by tibialization of the fibula: a review of the literature. Trauma Mon. 2012;16:154–9. (Open access).
Sachs B, Shaffer JW. A staged Papineau protocol for chronic osteomyelitis. Clin Orthop Relat Res. 1984;184:256–63.
Stevenson AJ, Jones HW, Chokotho LC, Beckles VL, Harrison WJ. The Beit CURE classification of childhood chronic haematogenous osteomyelitis – a guide to treatment. J Orthop Surg Res. 2015;10:144. (Open Access).
Tetsworth K, Cierny G. Osteomyelitis debridement techniques. Clin Orthop Relat Res. 1999;360:87–96.
Xiaohua W, Zhen W, Jingshu F, Ke H, Zhao X. Induced membrane technique for the treatment of chronic heamatogenous tibia osteomyelitis. BMC Musculoskelet Disord. 2017;18:33. (Open Access).
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Penny, J.N., Spiegel, D.A. (2020). Chronic Osteomyelitis in Children. In: Gosselin, R., Spiegel, D., Foltz, M. (eds) Global Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-030-13290-3_31
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DOI: https://doi.org/10.1007/978-3-030-13290-3_31
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