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DOI: 10.1055/s-2005-836788
© Georg Thieme Verlag Stuttgart · New York
Post-Traumatic Chronic Osteomyelitis: A Rare and Problematic Diagnosis?
Publication History
Publication Date:
23 August 2005 (online)
Abstract
Background: Post-traumatic chronic osteomyelitis (PTCO) is a rare but severe complication of fracture treatment. Methods: We evaluated the incidence and prevalence of PTCO, and the role of imaging in its diagnosis by means of questionnaires sent to a representative selection of trauma surgeons in Dutch teaching and general hospitals. Results: The estimated incidence of suspected PTCO was 2.2 cases a year in general hospitals and 27.5 cases a year in teaching hospitals (p = 0.01). The overall incidence was calculated as 1 : 38 000 inhabitants per year. The prevalence of PTCO was significantly lower in general hospitals than in teaching hospitals (two versus eight patients; p = < 0.001). The overall prevalence was calculated as 1 : 70 000 inhabitants. The risk of developing PTCO after operative treatment was 0.64 %. Eighty-three percent of the respondents considered diagnostic imaging to adequately distinguish soft tissue infections from osteomyelitis; in contrast, 86 % of respondents considered diagnostic imaging to have little effect on final surgical treatment and 14 % thought it had a modest effect. Conclusions: PTCO, although a rare diagnosis, is a major problem for individual patients. A wide range of available imaging techniques is considered helpful for diagnosing PTCO, but the results of these procedures have few consequences for surgical treatment.
Key words
questionnaire - epidemiology - post-traumatic - chronic osteomyelitis
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M F. TermaatM. D.
Department of Surgery/Traumatology · VU University Medical Center
P.O. Box 70 57
1007 MB Amsterdam
The Netherlands
Phone: +31/20/4 44 02 68
Fax: +31/20/4 44 02 74
Email: mf.termaat@vumc.nl