Subacute hematogenous osteomyelitis: are biopsy and surgery always indicated?

作者: Reggie C. Hamdy , Louis Lawton , Timothy Carey , James Wiley , Dominique Marton

DOI: 10.1097/00004694-199603000-00017

关键词: Open biopsyBiopsyChemotherapyOsteitisAntibioticsSurgeryHematogenous osteomyelitisAntibiotic therapyBone diseaseMedicine

摘要: Forty-four consecutive cases of subacute osteomyelitis admitted at our institution over a 12-year period were retrospectively reviewed to assess the effectiveness conservative versus surgical treatment this condition and determine indications for open biopsy debridement. Twenty-four treated with antibiotics only, 20 had debridement followed by antibiotics. Except one case that received inadequate antibiotic therapy, all patients responded well treatment, whether or surgical. At an average follow-up 18 months, there no recurrences. Our results also showed careful radiologic assessment these cases, most lesions characteristic benign features. We can therefore conclude management is as effective treatment. believe should be first line in both reserved do not respond show aggressive

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