The role of the periosteum in healing a large structural defect following sequestrectomy.
An eight-year-old boy had a sequestrum involving the entire femoral diaphysis removed before significant involucrum had formed. This procedure resulted in a large structural defect. Ten weeks later, the periosteum had completely repaired the effect, and no infection remained. The benefit in this case of early, radical sequestrectomy is discussed.
Bertram
Frank W
FW
Beit-CURE Hospital, Blantyre, Malawi. bertramfl@gmail.com
Harrison
Jim
J
Freeman
R
R
D002648:Child; D018483:Diaphyses / Q000473:pathology / Q000601:surgery; D005269:Femur / Q000473:pathology* / Q000601:surgery*; D005598:Fractures, Spontaneous; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D010020:Osteonecrosis / Q000601:surgery; D010521:Periosteum / Q000502:physiology*; D011859:Radiography; D014945:Wound Healing / Q000502:physiology*