osteomylitis

osteomyelitis Moderator: Dr peeyush sharma Presenter: Dr Pramod mahender

osteomyelitis ,[object Object],[object Object],[object Object]

Osteomyelitis >3months Chronic: Less virulent – more immune 2weeks—3months Subacute: ,[object Object],[object Object],<2weeks Acute:

Organisms Commonly Isolated in Osteomyelitis Based on Patient Age ,[object Object],[object Object],[object Object]

Risk factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

osteomyelitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

pathophysiology Primary & secondary spongiosa Limit reticuloendothelial cells Immature cell, anoxia Hairpin bend ( metaphyseal arteries) Sluggish circulation infection

Clinical feature ,[object Object],Chornic ,[object Object],[object Object],[object Object],Sub acute ,[object Object],[object Object],[object Object],Late Acute ,[object Object],[object Object],[object Object],Early Acute

lab ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MORREY AND PETERSON”S CRITERIA ,[object Object],[object Object],[object Object]

Peltola and vahvanen’s criteria ,[object Object]

[object Object],[object Object],[object Object],[object Object]

WALDVOGEL 1970 ,[object Object],[object Object],[object Object]

WEILAND 1984 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GORDON’S 1988 ,[object Object],[object Object],[object Object]

GER’S 1982 ,[object Object],[object Object],[object Object],[object Object]

KELLY’S 1984 ,[object Object],[object Object],[object Object],[object Object]

MAY’S 1989 ,[object Object],[object Object],[object Object],[object Object],[object Object]

TABLE 1 Waldvogel Classification System for Osteomyelitis ,[object Object],[object Object],[object Object],[object Object],[object Object]

The Penny classification of chronic osteomyelitis in children includes both diaphyseal and metaphyseal types . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DE CIERNY-MADER ,[object Object],[object Object],[object Object],[object Object],[object Object]

The Cierny-Mader Staging System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Systemic or Local Factors That Affect Metabolism, Local Vascularity, and Immune Surveillance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nade’s principles ,[object Object],[object Object],[object Object],[object Object],[object Object]

Nade’s indications for surgery ,[object Object],[object Object],[object Object]

management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Surgical mx ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cierney mader Soft tissue coverage After debridement Bone exposed Stage2 :NO hardware-Nosurgery Intramedulary reaming+/- bone grafting +/- brace/cast Children Adult Stage1

Cierney mader Structural stability Obliterating debridement gaps -bone graft -Illizarov - free flaps -vascular bone instability Stage4 Deberidment Reconstruction of bone &soft tissue Sequestered +above Stage3

Osteomyelitis and hiv ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Musculoskeletal &hiv ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

osteomylitis

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osteomylitis