Suchergebnisse

Osteomyelitis is an infection and inflammation of the bone. Bacteria are the primary cause of osteomyelitis. Infections with fungi and viruses can also cause it.It usually affects children and others who are immunocompromised. Although bacteria cannot colonise bone ordinarily, events such as trauma, ischemia, surgery, the presence of foreign particles, or the insertion of prostheses can disrupt bone integration, eventually leading to infection.AIM : To study Bacteriological profile of osteomyelitis patients in Government Hospital, Ambikapur. Material And Material: During the study period of April2021 to Oct 2021 for this study 30 patients who were diagnosed clinically and radiologically as a case of Chronic Osteomyelitis are participating in this study. The risk factors for Chronic Osteomyelitis were obtained from patient case sheets with the help of orthopedic surgeons in the department of orthopedic RSDKSGMC and Hospital.In this study, the total number of cases Chronic Osteomyelitis considered was 30.with age group of 1-60 years and both the sexs. Conclusion: Chronic osteomyelitis is a chronic disease that affects the long bones, particularly the femur and tibia, and is most common in adults. Haematogenous Osteomyelitis is becoming less common as antibiotics become more widely available and children's growing bones have a higher vascular metaphysis.

AbstractThis article aims to highlight palatal actinomycosis osteomyelitis as an unseen complication of maxillary tooth impactions. A middle aged male with uncontrolled diabetes reported with a complaint of nasal regurgitation of fluids. After clinical and radiographic evaluation, he was diagnosed with actinomycosis osteomyelitis of the hard palate as a sequelae of a long‐standing palatally impacted tooth. He was treated by a combination of medical and surgical therapy. Palatal actinomycosis should be considered a differential in nonhealing lesions of the hard palate and a possibility before leaving maxillary impactions untreated, especially in immunocompromised individuals. Adequate follow‐up is mandatory to note for any radiographic changes and if diagnosed, treatment should be started promptly to prevent grave complications.

BACKGROUND: During recent wars, 26% of combat casualties experienced open fractures and these injuries frequently are complicated by infections, including osteomyelitis. Risk factors for the development of osteomyelitis with combat-related open tibia fractures have been examined, but less information is known about recurrence of this infection, which may result in additional hospitalizations and surgical procedures. QUESTIONS/PURPOSES: (1) What is the risk of osteomyelitis recurrence after wartime open tibia fractures and how does the microbiology compare with initial infections? (2) What factors are associated with osteomyelitis recurrence among patients with open tibia fractures? (3) What clinical characteristics and management approaches are associated with definite/probable osteomyelitis as opposed to possible osteomyelitis and what was the microbiology of these infections? METHODS: A survey of US military personnel injured during deployment between March 2003 and December 2009 identified 215 patients with open tibia fractures, of whom 130 patients developed osteomyelitis and were examined in a retrospective analysis. No patients with bilateral osteomyelitis were included. Twenty-five patients meeting osteomyelitis diagnostic criteria were classified as definite/probable (positive bone culture, direct evidence of infection, or symptoms with culture and/or radiographic evidence) and 105 were classified as possible (bone contamination, organism growth in deep wound tissue, and evidence of local/systemic inflammation). Patients diagnosed with osteomyelitis were treated with débridement and irrigation as well as intravenous antibiotics. Fixation hardware was retained until fracture union, when possible. Osteomyelitis recurrence was defined as a subsequent osteomyelitis diagnosis at the original site ≥ 30 days after completion of initial treatment. This followup period was chosen based on the definition of recurrence so as to include as many patients as possible for analysis. Factors associated with osteomyelitis ...

OBJECTIVES: We assessed osteomyelitis risk factors in U.S. military personnel with combat-related open tibia fractures (2003–2009). METHODS: Patients with open tibia fractures who met diagnostic criteria of osteomyelitis were identified as cases using Military Health System data and verified through medical record review. Controls were patients with open tibia fractures who did not meet osteomyelitis criteria. Gustilo-Andersen (GA) fracture classification scheme was modified to include transtibial amputations (TTAs) as the most severe level. Logistic regression multivariable odds ratios (OR; 95% confidence interval [CI]) were assessed. RESULTS: A total of 130 tibia osteomyelitis cases and 85 controls were identified. Excluding patients with TTAs, osteomyelitis cases had significantly longer time to radiographic union compared to controls (median: 210 versus 165 days). Blast injuries, antibiotic bead utilization, ≥GA-IIIb fractures (highest risk with TTA [OR: 15.10; CI: 3.22–71.07]) and foreign body at fracture site were significantly associated with developing osteomyelitis. In a separate model, the Orthopaedic Trauma Association Open Fracture Classification muscle variable was significant with increasing risk from muscle loss (OR: 5.62; CI: 2.21–14.25) to dead muscle (OR: 8.46; CI: 3.31–21.64). When TTAs were excluded, significant risk factors were similar and included sustaining an injury between 2003 and 2006. CONCLUSIONS: Patients with severe blast trauma resulting in significant muscle damage are at the highest risk for osteomyelitis. The time period association coincides with a timeframe when several trauma system practice changes were initiated (e.g., increased negative pressure wound therapy, decreased high pressure irrigation, and reduced crystalloid use). LEVEL OF EVIDENCE: Prognostic Level III

OBJECTIVE: To determine risk factors for osteomyelitis in United States military personnel with combat-related, extremity long bone (humerus, radius, ulna) open fractures. DESIGN: Retrospective observational case-control study. SETTING: U.S. military regional hospital in Germany and tertiary care military hospitals in United States (2003-2009). PATIENTS/PARTICIPANTS: Sixty-four patients with open upper extremity fractures who met diagnostic osteomyelitis criteria (medical record review verification) were classified as cases. Ninety-six patients with open upper extremity fractures who did not meet osteomyelitis diagnostic criteria were included as controls. INTERVENTION: not applicable. MAIN OUTCOME MEASUREMENTS: Multivariable odds ratios (OR; 95% confidence interval [CI]). RESULTS: Among patients with surgical implants, osteomyelitis cases had longer time to definitive orthopaedic surgery compared to controls (median: 26 versus 11 days; p<0.001); however, there was no significant difference with timing of radiographic union. Being injured between 2003 and 2006, use of antibiotic beads, Gustilo Anderson [GA] fracture classification (highest with GA-IIIb: [OR: 22.20; CI: 3.60-136.95]), and Orthopaedic Trauma Association Open Fracture Classification skin variable (highest with extensive degloving [OR: 15.61; CI: 3.25-74.86]) were independently associated with osteomyelitis risk. Initial stabilization occurring outside of the combat zone was associated with reduced risk of osteomyelitis. CONCLUSIONS: Open upper extremity fractures with severe soft-tissue damage have the highest risk of developing osteomyelitis. The associations with injuries sustained 2003-2006 and location of initial stabilization are likely from evolving trauma system recommendations and practice patterns during the timeframe.