This document discusses osteomyelitis, beginning with definitions and epidemiology. It describes the emergency and elective presentations of osteomyelitis and the history, including potential causes. Examination techniques are outlined. Recommended investigations include x-rays, blood tests, and microbiological cultures. Goals of treatment include debridement, management of bone gaps using various techniques, and adjunct therapies. Complications, prevention, follow up, and West African perspectives on osteomyelitis are also covered.

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