title: Flare-up of previously quiescent chronic osteomyelitis 20 years after childhood skeletal traction: a report of two cases.
abstract: Management of lower limb fractures in children involves many approaches, spanning from conservative treatment to open reduction and internal fixation. A number of intermediate treatments have also been shown to be effective, notably skeletal traction. However, each of these techniques has its own advantages and disadvantages in terms of complications. In this report, we describe two new cases of chronic osteomyelitis that manifested (many years) after childhood skeletal traction. After analysing these two cases, we proposed measures that can be implemented to avoid such complications, along with a simple, appropriate, reproducible treatment approach.
authors: Orthopaedic and Trauma Surgery Department, Joseph Fourier University - Grenoble, South Grenoble Hospital, BP 217, 38043 Grenoble cedex 9, France. acourvoisier@chu-grenoble.fr
authors: A
authors: A
authors: Courvoisier
authors: M
authors: M
authors: Grimaldi
authors: B
authors: B
authors: Rubens-Duval
authors: C
authors: C
authors: Chaussard
authors: D
authors: D
authors: Saragaglia
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D002908:Chronic Disease; D003646:Debridement / Q000379:methods; D003937:Diagnosis, Differential; D016267:External Fixators / Q000009:adverse effects*; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013978:Tibial Fractures / Q000175:diagnosis / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents