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Closed fractures complicated by acute hematogenous osteomyelitis.
Clinical Orthopaedics and Related Research
|December 1, 1985
Summary
Acute hematogenous osteomyelitis is rare in children with closed fractures but can occur. Prompt antibiotic treatment leads to excellent outcomes, preventing long-term bone issues.
Area of Science:
- Pediatric Orthopedics
- Infectious Diseases
Background:
- Osteomyelitis is a bone infection, often occurring after open fractures or trauma.
- Acute hematogenous osteomyelitis typically spreads through the bloodstream.
Observation:
- Two pediatric cases of osteomyelitis at closed fracture sites were identified.
- Infection developed after fracture reduction and immobilization.
Findings:
- Antibiotic therapy was effective in treating the osteomyelitis.
- Fractures healed completely without chronic infection, growth impairment, or functional loss.
Implications:
- Consider osteomyelitis in children with closed fractures presenting with fever or increased pain post-immobilization.
- Early diagnosis and treatment of pediatric osteomyelitis associated with closed fractures yield favorable prognoses.