Sequelae of Paediatric Musculoskeletal Infections
Volume 9 | Issue 3 | September-December 2023 | Page: 22-27 | Prateek Behera, Vikas Gupta, Shubhangi Gupta
DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.159
Authors: Prateek Behera MS Ortho [1], Vikas Gupta MS Ortho [2], Shubhangi Gupta MS Ortho [3]
[1] Department of Orthopaedics, AIIMS Bhopal, Madhya Pradesh.
[2] Department of Orthopaedics, Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi
[3] University of North Dakota, USA
Address of Correspondence
Dr. Prateek Behera
Department of Orthopaedics, AIIMS Bhopal, Madhya Pradesh.
E-mail: pbehera15@outlook.com
Abstract
Musculoskeletal infections (MskI) are one of the leading causes of morbidity
in children. In neonates and infants, they can result in deaths, too, if timely
treatment is not initiated. Of the several factors contributing to the
development of sequelae, late presentation, delay in diagnosis, and failure in
initiation of appropriate treatment are considered important. Chronic
osteomyelitis is often a continuation of untreated or incompletely treated
osteomyelitis. The management of chronic osteomyelitis rests on the pillars of
extensive surgical debridement and appropriate antibiotic therapy. The
diseased bones might get fractured and need to be supported till union, which
invariably happens inappropriately treated patients. In young children,
osteomyelitis and septic arthritis tend to be frequently present concomitantly,
and the infection can result in the destruction of the epiphysis, too. These
children with damaged epiphysis have poor outcomes despite best of the
efforts to restore function. Physis can also be involved in MskI, resulting in
formation of physeal bar that can result in growth arrest. This bar can result in a shortened limb, angular deformity, or both. Management of these conditions
includes physeal bar excision wherever suitable or correction of angular
deformity by osteotomies. Length can be gained concomitantly using ring
external fixators.
Keywords: Musculoskeletal infections, Osteomyelitis, Sequelae, Growth
arrest, Physeal bar
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| How to Cite this Article: Behera P, Gupta V, Gupta S | Sequelae of Paediatric Musculoskeletal Infections | International Journal of Paediatric Orthopaedics | September-December 2023; 9(3): 22-27. https://doi.org/10.13107/ijpo.2023.v09.i03.159 |
