COM

1. By
Dr Salihi Abdulmalik
National Orthopaedic Hospital Dala – Kano
6th April, 2021

2.  Introduction
◦ Definition
◦ SOSI
◦ Epidemiology
 Presentation
◦ Emergency
 Pathological #
 Anaemia
 Sepsis
 Dehydration
 Malnutrition
 Pain
◦ Elective

3.  History
◦ PC
 Swelling
 Pain
 Fever
 Discharge (Walenkamp phenomenon)
 Deformity
◦ Aetiology
 Surgery
 Trauma
 AOM
 SCD
 TBS
 IV drugs user
 RVS
◦ Care

4.  Examination
◦ General PE
◦ Gait
◦ Contralateral limb
◦ Look
◦ Feel
◦ Move
◦ Neurovascular status

5.  Investigations
◦ X ray
◦ FBC
◦ ESR
◦ CRP
◦ Swab m/c/s
 Antibiotics, analgesics
 Staging
 Counseling
 Differentials

6.  Goals of treatment
 Options of treatment
◦ Debridement (squesterectomy + curretage,
saucerization, decortication)
◦ Bone gap mgt
 Papineau technique
 Lautenbech
 Belfast
 Masquelet technique
 Free vascularised fibular graft
◦ Excision of non essential bone
◦ Amputation

7.  Adjuncts/advances
 Complications
 Prevention
 Follow up
 West African perspectives
 Conclusion

8. Thank you
For
listening