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Year : 1974  |  Volume : 8  |  Issue : 1  |  Page : 39-44

Reincorporation Of Early Diaphysial Sequestra And Bone Remodelling In Extensive Haematogenous Osteomyelitis In Children


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B. P Varma


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Chronic osteomyelitis continues to be a major problem in our country inspite of the advent of antibiotics. This is mainly because of the fact that patients usually come late when varying degree of bone necrosis is inevitable inspite of the drainage of abscess and institution of antibiotic therapy. Spontaneous absorption of small pieces of sequestra is well known to occur in chronic osteomyelitis. In extensive chronic diaphysial osteomyelitis, the usual outcome is the separation of a diaphysial sequestrum with the formation of an involucrum. We wish to present in this communication an account of 6 cases of extensive haematogenous osteomyelitis in children seen during the period 1964-1972, in whom large segments of early diaphysial sequestra got reincorporated and remodeled following prolonged protection of the limb in a plaster cast and administration of proper antibiotics after bacterial sensitivity tests.


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