Orthopedics study guide

Apr 16th, 2015
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OSTEOMYELITISDR Benjamin M. NdelevaEgerton UniversityOUTLINEIntroductionEpidemiologyAetiology/Pathogenesis and PathologyClinical presentationInvestigationTreatmentComplicationPrognosisINTRODUCTION Inflammatory process in which bone/its marrowcontents is infected by microorganism Accompanied by bone destruction Localized or may involve entire bone + surroundingsoft tissueINTRODUCTIONMicroorganisms may reach bones in two ways1)Hematogenous - from distant site e.g dentalprocedures, URTI, UTI2)Directly innoculation i.e. open #, post ORIFTypes - DurationOsteomyelitis may be Acute, Subacute, Chronic.Ciarney-Marder Classn Incorporates 4 prognostic factors whichinclude; Condition of host, Impairment caused by dse Site involved Extent of bone necrosis Provides guidelines for MxCiarney-Mader (Anatomic type) Type I- medullary osteomyelitis Type II- superficial osteomyelitis Type III- localized osteomyelitis Type IV- diffuse osteomyelitisCiarney-Mader Anatomic typeMedullary Primary lesion endosteal E.g. infected IM rodSuperficial On bone surface From a true contiguous focus E.g. exposed metatarsal in DM foot or septicarthritis which involves adjacent boneLocalized Involves both cortical and medullar bone Entire diameter of bone not involved E.g. from trauma, iatrogenicDiffuse Entire thickness of bon

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