Evaluation of method of bone drilling and irrigation of antibiotic solution in treatment of osteomyelitis and suppurative arthritis in children

ABSTRACT

The osteomyelitis and arthritis are common surgical emergency. During 10 years(from 1988 to 1997) we operated 214 cases with 143 males and 71 females with Haematogenous osteomyelitis by technique of drilling bone and irrigation of antibiotic solution, surgical drainage of subperiosteal pus. The purpose of those papers are to evaluate method of drilling bone with irrigation of the medullar canal by antibiotic solution and to examine some early signs of osteomyelitis in children. 115 patients were operated by drilling bone with irrigation of antibiotic solution, and 69 patients of them were operated by drainage of subperiosteal pus. The early signs of heamatogenous osteomyelitis with fever, localized paint, swelling, tenderness and warm are usual.