Narasanagi S S
Prog Pediatr Surg. 1982;15:203-8.
Osteomyelitis is a common disease of the poor in the rural population in India. It occurs commonly in children. During the period 1963 to 1979 500 cases of osteomyelitis of various bones have been studied from the point of view of aetiology, pathology and presentation. Acute cases were treated by resting the part and appropriate antibiotics. Incision and drainage of abscesses was performed whenever necessary. Chronic cases were treated by sequestrectomy. Sequestrectomy and saucerization are contraindicated where an involucrum is not formed. Sequestrectomy in such cases leads to collapse of the periosteal tube and a flail limb. This challenging problem was successfully treated in most of the cases. Chronic osteomyelitis is a nonspecific infection. In 25 cases the histopathology of biopsy material from the operated area showed tuberculous tissues. These case of tuberculous osteomyelitis of long bones have a granular sequestrum and thick sclerosis of the cortical bone. Such cases need a full course of antituberculous drugs.
骨髓炎是印度农村贫困人口中的一种常见疾病。它常见于儿童。在1963年至1979年期间，从病因、病理和临床表现的角度对500例不同骨骼的骨髓炎病例进行了研究。急性病例通过局部休息和使用适当的抗生素进行治疗。必要时进行脓肿切开引流。慢性病例通过死骨切除术进行治疗。在未形成骨膜新生骨的情况下，禁忌进行死骨切除术和碟形手术。在这种情况下进行死骨切除术会导致骨膜管塌陷和连枷肢。这个具有挑战性的问题在大多数病例中都得到了成功治疗。慢性骨髓炎是一种非特异性感染。在25例病例中，手术区域活检材料的组织病理学显示为结核组织。这些长骨结核性骨髓炎病例有颗粒状死骨和皮质骨增厚硬化。此类病例需要全程抗结核药物治疗。
