Leonard Charles Marais1, Nando Ferreira1, Colleen Aldous2, Benn Sartorius3, Theo Le Roux4. 1. Tumour, Sepsis and Reconstruction Unit, Department of Orthopaedics, School of Clinical Medicine, University of KwaZulu-Natal, Grey's Hospital, Pietermaritzburg, 3201, South Africa. 2. School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, 4013, South Africa. 3. Public Health Medicine, School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Howard College Campus, Durban, 4041, South Africa. 4. Department of Orthopaedics, University of Pretoria, I Military Hospital, Pretoria, 0187, South Africa.
Abstract
AIMS: To investigate the short-term outcome of treatment of chronic osteomyelitis where management was based on a refined host stratification system. METHODS: A retrospective review of 109 adult patients with chronic osteomyelitis. RESULTS: At a minimum follow-up of 12 months (range 12-36) we observed an overall success rate of 89.9% (95% CI: 82.7-94.9%). There was no statistically significant difference in success rates by host status (p-value = 0.201). CONCLUSION: By integrating the redefined host status and treatment strategy, we were able to achieve comparable short-term outcomes in both low and high-risk cases while maintaining a low rate of amputation.
AIMS: To investigate the short-term outcome of treatment of chronic osteomyelitis where management was based on a refined host stratification system. METHODS: A retrospective review of 109 adult patients with chronic osteomyelitis. RESULTS: At a minimum follow-up of 12 months (range 12-36) we observed an overall success rate of 89.9% (95% CI: 82.7-94.9%). There was no statistically significant difference in success rates by host status (p-value = 0.201). CONCLUSION: By integrating the redefined host status and treatment strategy, we were able to achieve comparable short-term outcomes in both low and high-risk cases while maintaining a low rate of amputation.
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