J Korean Orthop Assoc.  1974 Dec;9(4):411-417. 10.4055/jkoa.1974.9.4.411.

Pyogenic Osteomyelitis with Multiple Lesions

• Lee HK
• Kim YM
• Bae DK
• Chung MS

• KMID: 2471464
• DOI: http://doi.org/10.4055/jkoa.1974.9.4.411

Abstract

Sixteen cases of pyogenic osteomyelitis with multiple lesions were observed in the Department of Orthopedic Surgery, Seoul National University Hospital during the last 9 years. Multiple osteomyelitis occured in male 3 times more frequently than in female, and was hematogenous in 81% of the cases. The highest incidence was found among 10 to 20 year-old patients, and most commonly affected sites were tibia, femur and foot bones in that order. The infecting organism was Coagulase (+) staphylococcus in 65%. The patients were cured in about one third of the cases after single operative treatment.

MeSH Terms

Coagulase
Female
Femur
Foot Bones
Humans
Incidence
Male
Orthopedics
Osteomyelitis*
Seoul
Staphylococcus
Tibia
Coagulase

Reference

6. Aegerter E., Kirkpatrick J.A.Orthopedic Diseases. 3rd Ed. W. B. Saunders Co;1968.

7. Boland A.L.Acute Hematogenous Osteomyelitis. Orth. Clin. North Amer. 3–1. 225:1972.

8. , et al. Resection of the Tibial Shaft for Osteomyelitis in Children. A 32 Year Follow-up Study. J. Bone Joint Surg. 48-A:1328. 1966.

9. Duthie R.B., Ferguson A.B.Mercercer's Orthopaeddic Surgery. 7th ed., Edward Arnold,. 1973.

10. Evans E.M., Davis D.D.The Treatment of Chronic Osteomyelitis by Saucrization and Secondary Skin Grafting. J. Bone Joint Surg.,. 51-A:454. 1969.

11. Hoeprich P.D.Prevention and Therapy of Pyogenic Infections in Orthopaedics. II Hematogenous Osteomyelitis. Instructional Course Lectures. Vol XXI:1. 1972.

12. Hoeprich P.D.The Management of Gram Negative Becillary Infections in Orthopaedics Recognition of and Susceptibility of Gram Negative Bacilli to Antibotics Relationship to the Clinical Use of Antibiotics. J. Bone Joint Surg. 51-A:1023. 1969.

13. Jaffe H.L.Metabolic, Degenerative, and Inflammatory Diseases of Bones and Joints. Lea & Febiger, Philadelphia;1972.

14. Kelly P.J.The Management of Gram Negative Bacillary Infections in Orthopaedics-Local Surgical Treatment. J. Bone Joint Surg.,. 51-A:1025. 1969.

15. King D.M., Mayo K.M.Subacute Hematogenous Osteomylitis. J. Bone Joint Surg.,. 51-B:458. 1969.

16. Lautenbach E. E.C.The Assessment of Progress in Osteomyelitis. J. Bone Joint Surg.,. 54-B:380. 1972.

17. Lippman R.K.Osteomyelitis Treated by Diaphysectomy and Re-implantation of the Shaft after Boiling (Orell Procedure). J. Bone Joint Surg.,. 51-A:1213. 1969.

18. Meade III R.H.The Management of Gram Negative Bacillary Infections in Orthopaedics The Use of Antibiotics: Local, Regional and Systemic. J. Bone Joint Surg.,. 51-A:1026. 1969.

19. Oliveira J.C.Bone Grafts and Chronic Osteomyelitis,. J. Bone Joint Surg. 53-B:672. 1971.

20. Prigge E.K.The Treatment of Chronic Osteomyelitis by the Use of M. Transplant or Iliac Graft. J. Bone Joint Surg. 28:576. 1946.

21. Raney R.B., Brashear H.R.Shands’ Handbook of Orthopaedic Surgery. 8th ed.The C. V. Mosby Co.;1971.

22. Stark W.J.The Use of Pedicled Muscle Flap in the Surgical Treatment of Chronic Osteomyelitis Resulting from Compound Fracture. J. Bone Joint Surg. 28:343. 1946.

23. Steel H.H.The Management of Gram Negative Bacillary Infection in Orthopaedics General Treatment Considerations. J. Bone Joint Surg.,. 51-A:1024. 1969.

24. Trueta J.The Three Types of Acute Hematogenous Osteomyelitis. J. Bone Joint Surg.,. 41-B:671. 1959.