EVALUATION OF OUTCOMES OF ACUTE HAEMATOGENOUS OSTEOMYELITIS IN CHILDREN FOLLOWING SURGICAL DECOMPRESSION

Authors

  • Arjun P Lamichhane Dept. of Orthopaedics, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu
  • C M Sharma Dept. of Orthopaedics, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu
  • G K.C. Dept. of Orthopaedics, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu
  • L L Shah Dept. of Orthopaedics, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu

DOI:

https://doi.org/10.31729/jnma.621

Abstract

Outcomes of the surgical decompression in 21 patients of less than 15 years of age with acute haematogenous
osteomyelitis attending Tribhuvan University Teaching Hospital during the period Oct. 1998 to Sept. 2000
were evaluated prospectively. Average age of the patients was 9.8 years. (range 3-14 years.) Thirteen Patients
were male and 8 were female. Majority (71%) of the cases had involvement of the bones around the knee
joint. Pus culture was positive in (71.43%)of the cases. Among 21 cases who underwent surgical
decompression, three patients were in inflammatory stage. Staphylococcus aureus was the causative organism
in all culture positive cases and was sensitive to cephalexin in 86% and Cloxacillin in 100% of the cases. Xray
changes of chronic osteomyelitis developed in the 2nd week in most cases (70%). Overall rate of conversion
to chronic osteomyelitis was 47.62%. Chronic osteomyelitis developed more in patients aged >10 years of
age (P=0.0015). Also chronic osteomyelitis developed more in patients who underwent surgical decompression
after 10 days (P=0.0634). The study concluded that early surgical decompression prevents chronicity and
prognosis is better in young children.

Key Words: Acute haematogenous osteomyelitis, Children, Chronic osteomyelitis, Surgical decompression.

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How to Cite

Lamichhane, A. P., Sharma, C. M., K.C., G., & Shah, L. L. (2013). EVALUATION OF OUTCOMES OF ACUTE HAEMATOGENOUS OSTEOMYELITIS IN CHILDREN FOLLOWING SURGICAL DECOMPRESSION. Journal of Nepal Medical Association, 42(149), 265–9. https://doi.org/10.31729/jnma.621

Issue

Vol. 42 No. 149 (2003)

Section

Original Article

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