Traumatic osteomyelitis

Traumatic osteomyelitis is an inflammatory infectious process in the bone that occurs as a result of an open fracture of it, a gunshot wound or suppuration of a wound of soft tissues located next to the bone. At the heart of the disease is necrosis of various parts of the thickness of the bone with subsequent suppuration, fistula formation and slow rejection of the sequester.

Symptoms, course. The acute course (high temperature, leukocytosis in the blood, pain and inflammation in the wound, the appearance of pus in it) is replaced by chronic (one or more fistulas with periodic release of small sequesters in the absence of signs of intoxication of the body). In severe cases, osteomyelitis may be complicated by sepsis. Long-term chronic osteomyelitis is complicated by amyloidosis of internal organs.

The diagnosis is based on anamnesis, the presence of fistulas and a characteristic radiographic picture. In some cases, tomography is necessary.

Treatment operative - opening of the sequential box, removal of sequesters and its contents. Antibiotics. General restorative treatment (vitamin therapy, high-grade food, sanatorium-and-spa treatment).