汕头大学医学院第二附属医院骨科汕头大学医学院第二附属医院骨科 陈孔冠陈孔冠 主任医师主任医师Sepitic OsteomyelitisInfection approach A: Blood circulation B: Wound of open fracture C: Extend D: DirectlyAcute Hemalogenous OsteomyelitisCause Staphylococcus aureus Salmonella Pneumonia coccus Large intestine bacilliPathology A: Abscess fromed B: Sequestration C: New bone forming D: Becomes chronicClinical Features A: Children especially boys B: Tibia femur humerus C: Obvious constitutions illness with pyrexia D: Exquisite tenderness over the affected bone E: Skin is warmer than normal F: Soft tissues are indurated G: Fluctuant abscessRadiograpbic Examination In the early stages he radiographs do not show. Only after two or three weeks do visibible charges appear . And they may never do so if efficient treatment is started very early.DiagnosisDistinguished from pyogenic arthritisA: The point of greatest tenderness is the bone rather than the jointB: A good range of joint movement is retainedC: Although the joint may be distended with fluid it does not contain pus. Treatment Efficient treatment must be began at the earliest possible moment. General treatment: artibiotic therapy. Local treatment : operation. Osteomyelitis complication open fracture.