YES. It has healing
There are different treatments and alternative to antibiotics? YES !! know them
Will Osteomyelitis Repeat once treatment is over? Not! The cause of recurrence or relapse is incomplete or inadequate treatment
If I have a limb shortening by bone infection, this can be lengthening? Yes, it is part of treatment (Limb Lengthening)
Osteomyelitis is an acute or chronic infection of the bone or bone marrow, usually caused by bacteria or mycobacteria and pyogenic fungi. Risk factors are recent trauma infected open fractures or bruises, immunosuppressed patients with diabetes, hemodialysis and intravenous drug abuse. It can also occur in childhood through blood (Hematogenous) causing damage to the bones and growth plate
Staphylococcus aureus is the most commonly isolated from all forms of osteomyelitis body. Osteomyelitis initiated hematogenously is seen frequently in children, and nearly 90% of cases is caused by Staphylococcus aureus. It is an inflammation or swelling of bone tissue that is usually the result of an infection.
Acute osteomyelitis almost always occurs in children. When it appears in adults, often due to a commitment in the resistance of the subject due to weakness, substance abuse, infections of the root canal of a tooth or the use of immunosuppressive drugs.
Osteomyelitis is a secondary complication in trauma accident. In such cases, the bacteria usually spread by the bloodstream, infecting locally before reaching the underlying bone.
In most cases you are posttraumatic complications associated with osteosynthesis (Application of plates or intramedullary nails) for the treatment of fractures.
The biggest problem is generated by the abandonment of these cases by allowing the advance specialists and chronicity of infection, without making effective procedures for bone healing. Many patients consult years after its appearance because they have been told that there is no cure and this is not true, now with proper treatment can be cured permanently.
Generally, microorganisms have spread to the bone through the blood, for example through the bloodstream. contagiously also they spread to the bone from local areas of infection and cellulite or by a penetrating trauma, including iatrogenic causes such as joint replacements or internal fixation of fractures or pipes (Endodontics, Root Canals) root of the teeth. Once the bone is infected, leukocytes enter the infected area, and its attempt to eliminate infectious organisms, release enzymes that eat away at the bone. Pus by blood vessels bone extends forming abscesses which deprives the bone blood flow, and are formed in the region of the areas of infected bone devitalized, known as sequestered bone infection, which forms the basis of a chronic infection. Often the body will try to create new bone around the area of ??necrosis. The resulting new bone so called involucrum. On histologic examination, these areas of necrosis of the bones are the basis for distinguishing between acute osteomyelitis and chronic osteomyelitis. Osteomyelitis is an infectious process that encompasses all the bones and its components, including bone marrow and periosteum. When is chronic can lead to bone sclerosis and deformity.
In children, usually, the long bones are usually affected, while in adults, the vertebrae and the pelvis are most commonly affected.
It is classified according to the site of bone involvement and the general condition of the patient, this allows you to plan the type of treatment, if required segmental resection of bone, make bony enlargements (Limb Lengthening) or requires bone transport, this is defined according to state of soft tissues (skin and muscle) at the site of infection.
Osteomyelitis occurs frequently during childhood, with an average age of 6 years. It is exceptional in the neonatal period. It is preferably in the most fertile metaphysis: near the knee, below the elbow. In 30 to 40% of cases, the appearance of a minor lesion in the days before the onset of infection. In the typical case, it is a male (preferably 3/1) complaining of pain at the end of a long bone. The pain has a sudden onset, occasionally accompanied by fracture and functional impairment of the affected limb. The gentle mobilization of the adjacent joint is possible. The infectious syndrome is marked with an over 38 ° fever, malaise, chills and sweating. In the initial phase, local signs are nonspecific. Later in the course of infection, there is an increased volume and localized inflammation. Usually, no lymphadenopathy (lymph nodes) are palpated. Other events that can be found in osteomyelitis particularly in a febrile context include:
• a state of agitation or prostration;
• pseudo paralysis a member of a baby or newborn;
In the case of Chronic Osteomyelitis active or bone infection post-traumatic occurs with the appearance of redness in the surgical area, out of purulent material, exposing the material osteosynthesis or bone appearance local pain and functional limitation, lack of consolidation of fractures, this infection causes irreparable damage to the bone compromising circulation and integrity and requires specialized treatment.
Osteomyelitis requires a prolonged antibiotic therapy, taking weeks to months. For this purpose often a central intravenous line is placed. Osteomyelitis may also require surgical debridement (removal of infected bone segment). Severe cases can lead to loss of a limb if appropriate measures are not taken or treated in non-specialized in the management of infections, bone lengthening (Limb Lengthening), care of skin coverage, management of nonunion centers fractures. The first-line antibiotics of choice are usually glycopeptides such as vancomycin, as determined by the patient's history and culture of the bacterium causing bone infection, with regard to infectious organisms. They can also use different schemes according to antibiotic resistance of the bacteria or antibiotic tolerance by the patient, the most important is the culture and sensitivity.
Acute and chronic osteomyelitis have Healing, i.e. can be eradicated definitively the disease if treated comprehensively and effectively, so it is not only the management with antibiotics required, in many cases it is necessary to remove bone segments, remove the dead bone or bone exposed secuestrum desiccated, is the only way to eradicate osteomyelitis.
Is a false statement to say that bone - Osteomyelitis Infection Not have a cure, this will apply many specialists who do not have the experience or enough knowledge to completely eradicate the disease, because they have the means and knowledge of holistic treatment that is not only the use of antibiotics should be surgical means to eliminate segments of infected bone and reconstructive techniques like a distraction osteogenesis or bone lengthening (limb lengthening) is applied for a time ranging from 2 to 6 months with external fixators circular or monolateral. This coupled with new and revolutionary techniques (Distraction Osteogenesis, deformity correction and Limb Lengthening), Technical of bone stabilization and reconstruction of soft tissues allow full recovery of limb function, elimination of chronic wounds and malodorous, the chronic pain, allowing the patient to return to their work and move without problems.
Keywords (osteomyelitis, Osteomyelitis, Limb Lengthening, Bone Infection, bone infection, bone lengthening and bone transport)
- There are specialized treatment centers?