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South African Journal of Surgery

versión On-line ISSN 2078-5151
versión impresa ISSN 0038-2361

S. Afr. j. surg. vol.46 no.1 Cape Town feb. 2008




Results of open wound technique in the treatment of post-sequestrectomy dead space



J. E. OnuminyaI; D. S. OnuminyaII

IF.M.C.S. Department of Orthopaedics and Traumatology, College of Medicine, Ambrose Alli University, Ekpoma, Nigeria
IIB.M. B.CH.Department of Obstetrics and Gynaecology, Irrua Specialist Teaching Hospital, Irrua, Nigeria




BACKGROUND AND METHOD: Severe chronic osteomyelitis with variable outcomes is still common among children in developing nations. There has been no consensus on the optimal method of treatment. We therefore prospectively evaluated the rates of wound healing and recurrence following open wound treatment of post-sequestrectomy dead spaces in 30 patients with haematogenous chronic osteomyelitis of the tibial shaft at the King Orthopaedic Clinic, Ekpoma, Edo State, Nigeria, between January 2001 and December 2005. Thirty similar patients whose post-sequestrectomy dead spaces were treated by closed wound technique formed the control group. Both groups were subjected to standard methods of perioperative management. Saucerisation, sequestrectomy and curettage were the cornerstones of surgical therapy. The wounds were primarily either left open (study group) or closed (control group). The rates of wound healing and recurrence were used to assess the outcome of treatment. The chi-square test was used for statistical analysis.
RESULTS: The median age was 13 years, with a range of 6 - 60 years. Staphylococcus aureus was the organism most commonly associated with chronic osteomyelitis. Rates of wound healing and recurrence in the study group were significantly better than in the control group (p<0.05), even though it took a relatively longer period to achieve healing with the open method of treatment. The follow-up period ranged from 1 to 5 years, with a median of 2 years.
CONCLUSION: We observed that the results of the open method of treating post-sequestrectomy dead spaces were good, and we advocate its use in resource-poor settings.



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1. Onuminya JE, Onabowale BO. Outcome of chronic osteomyelitis in Nigeria. Journal of Applied and Basic Sciences 2003; 1/2: 27-32.         [ Links ]

2. Onuminya JE, Onabowale BO. Chronic osteomyelitis in patients who have haemoglobinopathy. Nigerian Medical Practitioner 2003; 44: 92-95.         [ Links ]

3. Onuminya JE. A prospective evaluation of the diagnostic value of sinus specimen cultures in chronic osteomyelitis. Trop Doct 2006; 36: 38-39.         [ Links ]

4. Katchy UA, Agu CT, Nwankwo EO. Chronic osteomyelitis in 110 patients. Niger Postgrad Med J 2000; 7(2): 49-53.         [ Links ]

5. Essien JAI, Ndukwe UA. Chronic osteomyelitis: a 12-month experience at the National Orthopaedic Hospital, Enugu. Niger Postgrad Med J 1994; 1(3): 22-25.         [ Links ]

6. Ofiaeli RO. Radiological features of chronic osteomyelitis in long bones and the effects on diaphysical sequestration on linear growth. Orient Journal of Medicine 1991; 3(2): 20-22.         [ Links ]

7. McNally AM, Small OJ, Fofighi GH, Mollan BAR. Two-stage management of chronic osteomyelitis of long bones; the Belfast technique. J Bone Joint Surg 1993; 75B(3): 375-380.         [ Links ]

8. Bryson A. Delayed primary closure following sequestrectomy in chronic osteomyelitis. J Bone Joint Surg 1957: 39B: 779.         [ Links ]

9. Lew PD, Waldvogel AF. Current concepts: osteomyelitis. N Engl J Med 1997; 336(14): 999-1007.         [ Links ]

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