Does the Causative Microorganism and Etiology of Trauma Affect the Duration of Treatment in Chronic Tibia Osteomyelitis

Abstract

BACKGROUND: Osteomyelitis, followed by trauma or inflammation relates to a surgical procedure and is the concept caused by pyogenic bacteria in the bone marrow and bone. Treatment is difficult because management usually relies on a multidisciplinary approach. Up to date, there is no study in the literature investigating the effect of trauma and the causative microorganism on the duration of treatment in chronic osteomyelitis. METHODS: Between 2014-2018 the patients who were operated with the diagnosis of chronic tibia osteomyelitis. Surgery was performed on the patient according to the method described by Tetsworth and Cierny. Culture anti biogram and pathology samples were taken from all patients during the surgery. From the time of diagnosis of chronic tibia osteomyelitis to the last control examinations, patients were recorded. RESULTS: Of the 45 patients included in the study; 32 were male, 13 were women. The mean follow-up period was 24.7 months in males and 26.6 months in females. Patients with firearm wounds had the longest mean follow-up period (36.8 months). The longest mean follow-up period was P. aeruginosa (44.4 months). CONCLUSIONS: The follow-up and treatment of these patients are not suitable in hospitals where there is a high patient circulation and especially if total knee and hip arthroplasty surgery was performed. It is more appropriate to follow these patients in isolated centers and they should be treated by experienced surgeons. For this purpose, especially in developing countries, we suggest the establishment of 15 osteomyelitis treatment centers in accordance with population density and geographic conditions.