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Strategies for the analysis of osteitic bone defects at the diaphysis of long bones.

Tiemann AH, Schmidt HG, Braunschweig R, Hofmann GO - Strategies Trauma Limb Reconstr (2009)

Bottom Line: Surgical treatment of the affected bone segments and soft tissue, followed by reconstructive methods, continues to be the main basic therapy.It is often extremely difficult to decide whether the affected bone segment has to be resected, or whether bone continuity can be preserved.The following paper provides strategies and guidance to help guide decisions in this complex and challenging area.

View Article: PubMed Central - PubMed

Affiliation: Funktionsbereich Septische und Rekonstruktive Chirurgie, Klinik für Unfall- und Wiederherstellungschirurgie, BG-Kliniken Bergmannstrost Halle (Saale), Merseburger Str. 165, 06112, Halle, Germany, andreas.tiemann@bergmannstrost.com.

ABSTRACT
Septic diseases of the bone and the immediate surrounding soft tissue, i.e., osteitis, belong to the most alarming findings in recent traumatology and orthopedic surgery. The paramount goal of this therapy is to preserve the stable weight-bearing bones while maintaining a correct axis and proper working muscles and joints, in order to avoid permanent disability in the patient. "State-of-the-art" therapy of osteitis/osteomyelitis therapy has two priorities: eradication of the infection and reconstruction of bone and soft tissue. Surgical treatment of the affected bone segments and soft tissue, followed by reconstructive methods, continues to be the main basic therapy. It is often extremely difficult to decide whether the affected bone segment has to be resected, or whether bone continuity can be preserved. The following paper provides strategies and guidance to help guide decisions in this complex and challenging area.

No MeSH data available.


Related in: MedlinePlus

Preoperative diagnostic imaging. a X-ray of the distal humerus after revision surgery due to osteitis. Persistent sequester anterolateral. b X-ray after removal of the sequester. c X-ray after bone reconstruction with a cancellous bone graft
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Fig3: Preoperative diagnostic imaging. a X-ray of the distal humerus after revision surgery due to osteitis. Persistent sequester anterolateral. b X-ray after removal of the sequester. c X-ray after bone reconstruction with a cancellous bone graft

Mentions: Vital bone never has a uniform ivory color. Instead, there is always a texture, like the wavy grain in wood. At the localization of an osteotomy, minor punctate bleeding from the Haversian canals will be detectable (Fig. 3).Fig. 3


Strategies for the analysis of osteitic bone defects at the diaphysis of long bones.

Tiemann AH, Schmidt HG, Braunschweig R, Hofmann GO - Strategies Trauma Limb Reconstr (2009)

Preoperative diagnostic imaging. a X-ray of the distal humerus after revision surgery due to osteitis. Persistent sequester anterolateral. b X-ray after removal of the sequester. c X-ray after bone reconstruction with a cancellous bone graft
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2666826&req=5

Fig3: Preoperative diagnostic imaging. a X-ray of the distal humerus after revision surgery due to osteitis. Persistent sequester anterolateral. b X-ray after removal of the sequester. c X-ray after bone reconstruction with a cancellous bone graft
Mentions: Vital bone never has a uniform ivory color. Instead, there is always a texture, like the wavy grain in wood. At the localization of an osteotomy, minor punctate bleeding from the Haversian canals will be detectable (Fig. 3).Fig. 3

Bottom Line: Surgical treatment of the affected bone segments and soft tissue, followed by reconstructive methods, continues to be the main basic therapy.It is often extremely difficult to decide whether the affected bone segment has to be resected, or whether bone continuity can be preserved.The following paper provides strategies and guidance to help guide decisions in this complex and challenging area.

View Article: PubMed Central - PubMed

Affiliation: Funktionsbereich Septische und Rekonstruktive Chirurgie, Klinik für Unfall- und Wiederherstellungschirurgie, BG-Kliniken Bergmannstrost Halle (Saale), Merseburger Str. 165, 06112, Halle, Germany, andreas.tiemann@bergmannstrost.com.

ABSTRACT
Septic diseases of the bone and the immediate surrounding soft tissue, i.e., osteitis, belong to the most alarming findings in recent traumatology and orthopedic surgery. The paramount goal of this therapy is to preserve the stable weight-bearing bones while maintaining a correct axis and proper working muscles and joints, in order to avoid permanent disability in the patient. "State-of-the-art" therapy of osteitis/osteomyelitis therapy has two priorities: eradication of the infection and reconstruction of bone and soft tissue. Surgical treatment of the affected bone segments and soft tissue, followed by reconstructive methods, continues to be the main basic therapy. It is often extremely difficult to decide whether the affected bone segment has to be resected, or whether bone continuity can be preserved. The following paper provides strategies and guidance to help guide decisions in this complex and challenging area.

No MeSH data available.


Related in: MedlinePlus