Mader J T, Shirtliff M, Calhoun J H
Department of Internal Medicine, University of Texas Medical Branch, Galveston 77555-1115, USA.
Clin Infect Dis. 1997 Dec;25(6):1303-9. doi: 10.1086/516149.
Osteomyelitis is traditionally staged by the Waldvogel classification system. The Waldvogel classification is an etiologic system and does not readily lend itself to guiding surgical or antibiotic therapy. Other classifications have been developed to emphasize different clinical aspects of osteomyelitis. These classifications include those of Ger, Kelly, Weiland, Gordon, May, and Cierny-Mader. The Cierny-Mader classification is based on the anatomy of bone infection and the physiology of the host. The Cierny-Mader classification permits the development of comprehensive treatment guidelines for each stage. The Cierny-Mader classification is used to demonstrate the application of staging for the diagnosis and treatment of osteomyelitis.
骨髓炎传统上采用瓦尔德沃格尔分类系统进行分期。瓦尔德沃格尔分类是一种病因学系统，不太适合用于指导手术或抗生素治疗。已经开发了其他分类方法来强调骨髓炎的不同临床方面。这些分类包括格尔、凯利、韦兰、戈登、梅以及西尔尼 - 马德分类。西尔尼 - 马德分类基于骨感染的解剖结构和宿主的生理状况。西尔尼 - 马德分类允许为每个阶段制定全面的治疗指南。西尔尼 - 马德分类用于展示分期在骨髓炎诊断和治疗中的应用。
