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