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Acute Haematogenous Osteomyelitis: An Unusual Complication Following a Closed Fracture of the Femur in a Child

Baharuddin M., and Sharaf I., (2001) Acute Haematogenous Osteomyelitis: An Unusual Complication Following a Closed Fracture of the Femur in a Child. Medical Journal of Malaysia, 56 (Supplement D). pp. 54-56. ISSN 0300-5283

Full text not available from this repository.

Affiliations

Hospital Seremban. Dept. of Orthopaedics.
Hospital Universiti Kebangsaan Malaysia. Dept. of Orthopaedics and Traumatology.

Abstract

We report a rare case of an acute haematogenous osteomyelitis of the femur in a five-year-old boy following a closed fracture of the femur. Because of its rare occurrence, the diagnosis of osteomyelitis was missed initially. He presented with a groin abscess seven weeks after injury. He was treated with external fixation, repeated debridements and intravenous antibiotics. Culture grew Staphylococcus aureus. The latest follow-up one-year after the injury showed resolution of the infection and union of the fracture. The range of knee movement is limited from 0 - 90 degrees due to quadriceps contracture.

Item Type:Journal
Keywords:acute haematogenous osteomyelitis, Femur bone diseases, Malaysia
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:7768

1. Canale ST, Puhl J, Watson FM, Gillespie R. Acute osteomyelitis following closed fractures. Report of three cases. J Bone Joint Surg 1975; 57A: 415-18.

2. Hardy AE, Nicol RO. Closed fractures complicated by acute hematogenous osteomyelitis. Clin Orthop 1985; 201: 190-95.

3. Waldvogel FA, Medoff G, Swartz MN. Osteomyelitis: a review of clinical features, therapeutic considerations and unusual aspects. N Eng J Med 1970; 282: 198-206.

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