J Korean Orthop Assoc.  1975 Sep;10(3):276-281. 10.4055/jkoa.1975.10.3.276.

Clinical Observation of the Acute and Chronic Osteomyelitis of the Tibia

  • 1Department of Orthopedic Surgery, College of Medicine, Seoul National University Hospital, Korea.


Clinical observation of the acute and chronic osteomyelitis of the tibia has been made on 124 patients, who had been treated at the Department of Orthopedic Surgery, College of Medicine, Seoul National University Hospital from January, 1964 to August, 1974. The pyogenic osteomyelitis occured in male three times more frequently than female. The peak incidence was found among the age group of 10 to 19 year-old patients, and the proximal one-third was the more prevalent site as well known. The isolating organism was staphylococcus in 78.3%. In the distal one-third of the tibia with problems on the anteromedial aspect the posterolateral, and posterior surgical approach was preferred with good results in most cases.

MeSH Terms



1.Altomeier W. A.., Wadsworth C. L.An evaluation of penicilline therapy in acute hematogenous osteomyelitis. J. Bone and Joint Surg. 30-A:71. 1948.
2.Blanche D. W.Osteomyelitis in infants. J. Bone and Joint Surg., 34-A.‘71. 1952.
3.Blocky N. F.., Watson J. T.Acute osteomyelitis in children. J. Bone and Joint Surg., 52-B.-77. 1970.
4.Carrel B.., Woodyard J.W.Chronic osteomyelitis. Primary closure following saucerization.: A priliminary report. J. Bone and Joint Surg. 32-A:928. 1950.
5.Clawson D. K.., Dunn A. W.Management of common bacterial infection of bones and joints. J. Bone and Joint Surg. 49-A:164. 1967.
6.Compere E. L.., Metzger W. I.., Mitra R. N.The treatment of pyogenic bone and joint infections by closed irrigation (circulation) with a non toxic detergent and one or more antibiotics. J. J. Bone and Joint Surg. 49-A:614. 1967.
7.Crenshaw A. H.Campbell's Operative Orthopedics. 5th Ed.1:p. 65. C. V. Mosby Co.;1971.
8.Duthie R. B.., Ferguson A. B.Mercer's Orthopedic Surgery. 7th ed.p. 494. Edward Arnold;1973.
9.Gilmour W. N.Acute hematogenous osteomyelitis. J. Bone and Joint Surg. 44-B:841. 1962.
10.Green M.., Nyhan W. L.., Fousek M. D.Acnte hematogenous osteomyelitis. Pediatrics. 17:368. 1956.
11.Hall J.E.., Silverston E. A.Acute hematogenous osteomyelitis. Pediatrics. 31:1033. 1963.
12.Harmon P. H.A simplified surgical approach to the posterior tibia for bone-grafting and fibular transference. J. J. Bone and Joint Surg. 27:496. 1945.
13.Harris N. H.., Kirkaldy-Willis W. M.Primary subacute pyogenic osteomyelitis. J. Bone and Joint Surg. 49-B:526. 1965.
14.Isengerg H. D.., Lavine L. S.Orthopedic infections: Their biologic role and clinical significance: I. C. L. 20:i. 1971.
15.Jaffe H. L.Metabolic, Degenerative, and Inflammatory Diseaes of Bone and Joints, fea & Febiger, Philadelphia. 1972.
16.Jones K. G.., Barnett H. C.Cancellous bone graft for non-union of tibia through posterior lateral approach. J. Bone and Joint Surg. 37-A:1250. 1955.
17.Knight M. P.., Wood G. O.Surgical obliteration of bone cavities following traumatic osteomyelitis. J. Bone and Joint Surg. 27:547. 1945.
18.Lipscomb P. R.., Hoeprich P. O.., Brenner E. J.Prevention and therapy of pyogenic infections in orthopedics. I.C.L. Vol. 21:1. 1972.
19.McMaster P. E.., Hohl Mason. Tibiofibular cross-peg grafting. A salvage procedure for complicated ununited tibial fractures, f. Bone and Joint Surg. 47-A:1146–1158. 1965.
20.McMaster P. E.Cross bone graft betiveen fibula and tibia for tibial bone defect, f. Bone and Joint Surg. 36-A:172. 1964.
21.Meyer T. L.., Kregler A. B.., Smith W.S.Antibiotic management of staphylococcal osteomyelitis. J. Bone and Joint Surg. 47-A:285. 1965.
22.Smith-Peterson M. N.., Larson C. B.., Cochran W.Local chemotherapy with primary closure of septic wounds by means of drainage and irrigation cannulae. J. J. Bone and Joint Surg. 27:562–571. 1945.
23.Spink W. W.Staphylococcal infection and the problem of antibiotic resistant staphylococci. Arch. Ini. Medicine. 94H:67–196. 1954.
24.Trueta J.The three type of acute hematogenous osteomyelitis: A clinical and vascular study. J. Bone and Joint Surg. 41-A:671. 1959.
25.Waldvogel F. A.., Medoff G.., Swartz M. N.Osteomyelitis; A review of clinical feactures and unusual aspects. New Eng. J. Med. 282:198. 1970.
26.Winters J. L.., Cahen I.Acute hematogenous osteomyelitis: I.: review of sixty-six cases. J. Bone and Joint Surg. 42-A:691. 1960.
27.한인형. 장종호: 김인, 문명상: 골수염에대한임상적고찰. 대한정형외과학회잡지: 제7 권제고호97, «?월, 대한정형외과학회잡지: 제7 권제고호97, «?월,. 1972.
28.문명상. 한문식: 정형외과적감염에대한세균학적고찰. 대한외과학회잡지. 6:637–644. 1964.
29.한문식, 김재환, 박성덕, 이창주. 급성혈행성골수염에대한임상적고찰. 대한정형외과학회잡지, 제2 권제호:_72월1967.
30.김진호, 한문식. 만성골수행에대한관류료법대한정형의과학회잡지: 제J 권제부호41, 12 월. 1968.
31.문명상. 이승훈, 한인형: 옥인영: 광범위피부결손을동반한만성골수염. 대한정형외과학회잡지, 제ci? 권제2 호, 17S, 6월, 대한정형외과학회잡지, 제ci? 권제2 호, 17S, 6월,. 1973.
32.이기린, 박성덕. 한문식: 감염성경골부전유합에대한교차골정에의한치료법. 대한정형외과학회잡지. 제2권제우호: 1'22 월:.
33.이석현. 한문식: 정형의과감염중의세균학적고찰. 대한정형외과학회잡지. 제성권제2 호P5, 6월: 대한정형외과학회잡지. 제성권제2 호P5, 6월:. 1973.
34.김엽. 노성만, 김형순: 피부결손을동반한경만성수염에대한Soleus 근이동술Ο계보고), 대한정형외과학회잡지. 제<? 권제4 호'. 436:1. 1973.
Full Text Links
  • JKOA
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr