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Year : 1994  |  Volume : 28  |  Issue : 2  |  Page : 20-23

A Clinical Grading System For the Severity Of Chronic Osteomyelitis



Correspondence Address:
V. P Bansal


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Source of Support: None, Conflict of Interest: None


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A simplified system for grading the severity of osteomyelitis process into three grades, i.e. ‘mild’, ‘moderate’ and ‘severe’ has been developed based on a detailed study of osteomyelitis process in fifty three patients and on the experience gathered while treating such patients at the Central Institute of Orthopaedics in India. Only clinical data and plain radiographs in two planes have been used, taking care to minimize chances of subjective errors. The factors considered for the purpose were, length of the bone involved, number of sites involved, number and size of cavities if present, along with the amount of sclerosis around their margins, characteristics of the sequestrum seen, presence of any pathological fractures, number of sinuses, the amount of discharge at the time of active disease, and systemic involvement, if any.


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