Osteomyelitis of the Pelvic Bones: A Multidisciplinary Approach to Treatment.

摘要: Background and Purpose: A case series review of chronic pelvic osteomyelitis treated with combined medical surgical treatment by a multidisciplinary team. Methods: All patients excision at our tertiary referral centre between 2002 2014 were included. received care from clinical microbiologist, an orthopaedic surgeon plastic surgeon. The rate recurrent infection, wound healing problems post-operative mortality was determined in all. Treatment failure defined as reoperation involving further bone debridement, requirement for the use long-term suppressive antibiotics or sinus recurrence. Results: Sixty-one adults (mean age 50.2 years, range 16.8-80.6) underwent surgery. According to Cierny-Mader classification there 19 type II, 35 III 7 IV cases. ischium most common site infection. Osteomyelitis usually result contiguous focus infection associated decubitus ulcers, predominantly spinal cerebral disorders. Most positive microbiology had polymicrobial (52.5%). Thirty required soft tissue reconstruction muscle myocutaneous flaps. Twelve deaths occurred mean 2.8 years following surgery (range days-7.4 years). Excluding these follow-up 4.6 1.5-12.2 Recurrent seven (11.5%) 1.5 post-operatively (92 days - 5.3 After 58 cases (95.1%) free final follow-up. Interpretation: Patients this have many comorbidities risk factors poor outcome. Nevertheless, approach allows successful majority