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1、汕头大学医学院第二附属医院骨科 陈孔冠 主任医师Sepitic OsteomyelitisInfection approachA: Blood circulationB: Wound of open fractureC: ExtendD: DirectlyAcute Hemalogenous OsteomyelitisCauseStaphylococcus aureusSalmonellaPneumonia coccusLarge intestine bacilliPathologyA: Abscess fromedB: SequestrationC: New bone formingD: B
2、ecomes chronicClinical FeaturesA: Children especially boysB: Tibia femur humerusC: Obvious constitutions illness with pyrexiaD: Exquisite tenderness over the affected boneE: Skin is warmer than normalF: Soft tissues are induratedG: Fluctuant abscessRadiograpbic ExaminationIn the early stages he radi
3、ographs do not show. Only after two or three weeks do visibible charges appear . And they may never do so if efficient treatment is started very early.DiagnosisDistinguished from pyogenic arthritis A: The point of greatest tenderness is the bone rather than the joint B: A good range of joint movement is retained C: Although the joint may be distended with fluid it does not contain pus. TreatmentEfficient treatment must be began at the earliest possible moment.General treatment: artibiotic therapy. Local treatment : operation.Osteomyelitis complication open fracture.
