GENERAL ORTHOPEDIC    Dr Bakhtyar
                      Baram
         INFECTIONS
Even spontane infection
Postoperative or posttraumatic
 infection
PATIENTS FACTOR


General condition.
Serum albumin
Immunologic factor.
Alcohol and medicine .
SURGICAL FACTORS


Preparation,Skin ster.
Operationmethode.
Operation theater
DIAGNOSIS

Clinically
Lab. Test,CRP,ESR,Leucocyte.biopsy,C/S
X-ray
Ultasound
CT scaning
MRI
Bonescintigraphy and isotopscaning,or
 leucocytescin.
ACUTE HAEMATOGEN OSTEOMYLITIS

 Incidence
 Physiology
 Examination,labr., bloodculture, x-ray, acute MRI,
  Aspiration&biopsy

 Treatment
 Antibiotic alone
 Antibiotic not alone when…………

 Complications
 Purulent arthritis,cartilage destruction and OA ,
 Chronic OM,fracture,DV T,deg.epiphyse ,
SUBACUTE HAEM. OM

   Lesser GH ef fect
   Subfebrile or no fever
   Lab.test almost negative
   Mostly pain
   Brodie abscese.
   X-ray,MRI,Biopsy

 Treatment
 Biopsy,revision, antibiotic.
CHRONIC OM
 Weeks until one year after the acute OM or trauma.
 Aetiology
 Clinically

   Treatment
   1 .Radical excision
   2.rerestructuring goodvascular soft tissue.
   3.bone rerestruc. And stability
   4.Antibiotic


Bone TB
PURUELENT-INF.- ARTHRITIS

Reactive or infection
Pathogenese and aetiology
Diagnosis

Treatment
Biopsy or aspiration,,C/S, surgery
 and antibiotic .
SOFT TISSUE INFECTIONS

 Abscese.
 Erysipelas or skin streptococuse infection.

 Gasgangren.
 Diagnosis and aetiology.
 Treatment.

   Facitis necrotis
   Aetiology
   Sympt.&sign.
   treatment
POSTOPERATIVE INFECTIONS
POSTTRAUMATIC INFECTIONS
POSTARTHROPLAST Y INFECTIONS

Surgery 6th year, Tutorial (Dr. Bakhtyar Baram)