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140 Haematogenous Osteomyelitis and Septic Arthritis

Key Summary Points

1. Haematogenous osteomyelitis (HO) is a common and 5. In the absence of discharging sinuses the diagnosis of chronic
devastating problem for children in developing countries. osteomyelitis should be confirmed or excluded by biopsy.
2. Operation is the mainstay of treatment for HO in developing 6. Septic arthritis should be diagnosed and treated as an
world children. emergency because the longer intraarticular pus remains
under pressure, the more likely there will be permanent
3. Acute stages of HO are best managed with subperiosteal and destruction.
intramedullary decompression and antibiotics.
7. The African surgeon must be acquainted with a safe operative
4. Chronic stages are best treated with extensive debridement to
remove all sequestra, with antibiotics used to treat systemic approach to all bones and joints commonly affected with
sepsis. osteomyelitis and pyarthrosis.

References

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