[From "wet caries" to controllable complication. History of post-traumatic and postoperative osteitis].
In former times treatment of osteomyelitis was based on very few surgical principles such as incision of the infected region, debridement with sequestrectomy, and continuous drainage to prevent superficial closing of the wound. There were no rules for asepsis, anesthesia, and microbiology in the treatment of bone infection. Therapy improved dramatically when J. Lister introduced and performed antisepsis. With the beginning of the twentieth century it became much more standardized and differentiated. In the 4th decade of the twentieth century, the development of antibiotics changed the regime of osteomyelitis therapy again. Especially systemic intravenous antibiotic therapy was very successful in the treatment of the hematogeneous osteomyelitis. Treatment failed in post-traumatic and postoperative osteitis. Local antibiotic therapy on a delivery system was the breakthrough for these cases. The application of PMMA cement as an antibiotic delivery system led to this new possibility for treating bone infections and is still in use nowadays.
Orthopädische Universitätsklinik, Stiftung Friedrichsheim, Frankfurt/Main. drmrausch@aol.com
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D000900:Anti-Bacterial Agents / Q000266:history* / Q000627:therapeutic use; D001842:Bone and Bones / Q000293:injuries*; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D010000:Osteitis / Q000209:etiology / Q000266:history* / Q000628:therapy; D013530:Surgical Wound Infection / Q000266:history* / Q000628:therapy
D000900:Anti-Bacterial Agents