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KMID : 0438219740110010581
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Korea University Medical Journal
1974 Volume.11 No. 1 p.581 ~ p.587
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Clinical Observation of Acute & Chronic Osteomyelitis
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Abstract
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The writer has made a clinical observation in 117 patients with acute and chronic osteomyelitis, who were treated at the department of orthopedic surgery of this hospital during the past 3 and a half years from September 1969 through April 1973, and following results were obtained.
1. The peak. of age incidence was in third decade, nearly one-third of the cases in this age group, and this ailment was rarely seen in the aged (only 4 cases after -50 years of age). This disease was slightly more prevalent is the male with a 1.4:1 ratio of male to female, but under 10 years of age girls were found-more frequently affected than the male.
2. The common sites of involvment were the femur 53 cases (45%), the humerus 21 cases (18%) and the tibia 20 cases (17%)
The made of infection in this materials was considered to be of hematogenous origin in 85 cases (72%) and in the remainder of the cases direct local involvment secondary to trauma.
3 The duration of symptoms was less than 1 month in 39 cases (34%), between 1 month to 3 months in 21 cases (18%) and more commonly attributed to on inadequate treatment.
4. Staphylococci were the most´ common offender (in 2/3), and other relatively common causative organisms were & coli and streptococci.
5. Only 12 patients (10%) have been treated with antibiotics under conservative measure and 105 cases (90%) have been treated surgically. complete cure was obtained in 85 of 105 surgically treated cases.
6. Recurrences were encountered in -25 cases (21%), pathologic fractures developed in 4 cases (3.4 %), and 6 cases (5.1%) were complicated by arthritis.
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