TOTBİD Dergisi

TOTBİD Dergisi

2011, Cilt 10, Sayı, 3     (Sayfalar: 216-224)

Chronic osteomyelitis

Ali Murat Kalender 1, Savaş Güner 2

1 Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, Kahramanmaraş
2 Yüzüncü Yıl Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, Van

Görüntüleme: 68
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İndirme : 58

Chronic osteomyelitis is defined as an infection that leads to bone necrosis by microorganism invasion, requiring debridement. Staphylococcus aureus is the most frequently isolated pathogen. Local heat increase, hyperemia, tenderness, swelling, discharging sinus, long-lasting pain, tenderness in deep palpation, discharg e from the operation site, mild fever and relieving of the pain after drainage of the fistula are the classic signs. It is classified by Cierney and Mader by taking into consideration the anatomical and physiological criteria of the disease. The bone biopsy and culture are the gold standard of diagnosis. The main principles of treatment are the radical debridement of necrotic tissue, filling of dead space and long-term therapy with the appropriate antibiotics.

Anahtar Kelimeler : Anti-bacterial; chronic; osteomyelitis; Staphylococcal infections