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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 […]

Editorial

Volume 9 | Issue 3 | September-December 2023 | Page: 01 | Jayanth S. Sampath DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.155 Authors: Jayanth S. Sampath FRCSEd (Tr & Orth) [1] [1] Department of Orthopaedics, Rainbow Children’s Hospital, Bangalore, Karnataka, India. Address of Correspondence Dr. Jayanth S. Sampath, Rainbow Children’s Hospital, Bangalore, Karnataka, India. E-mail: editor.posi.ijpo@gmail.com Editorial At the outset, […]

Sequelae of Paediatric Musculoskeletal Infections

Editorial

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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

References

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2. Dodwell, E. R. (2013). Osteomyelitis and septic arthritis in children:
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3. Belthur M V, Esparza M, Fernandes JA, Chaudhary MM (2022) Post
Infective Deformities: Strategies for Limb Reconstruction. In: Belthur M V,
Ranade AS, Herman MJ, Fernandes JA (eds) Pediatric Musculoskeletal
Infections: Principles Practice. Springer International Publishing, Cham, pp
411–493.
4. Krzysztofiak A, Roversi M, Musolino A, et al (2022) Clinical report and
predictors of sequelae of 319 cases of pediatric bacterial osteomyelitis. Sci
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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

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Editorial

Volume 9 | Issue 3 | September-December 2023 | Page: 01 | Jayanth S. Sampath

DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.155

Authors: Jayanth S. Sampath FRCSEd (Tr & Orth) [1]

[1] Department of Orthopaedics, Rainbow Children’s Hospital, Bangalore, Karnataka, India.

Address of Correspondence

Dr. Jayanth S. Sampath,
Rainbow Children’s Hospital, Bangalore, Karnataka, India.
E-mail: editor.posi.ijpo@gmail.com

Editorial

At the outset, I must apologize on behalf of the Editorial Committee of IJPO for the recent loss of continuity in the release of journal issues. The National Medical Commission stopped recognising Index Copernicus towards publication credit for academic clinicians in medical colleges. Consequently, there was a steep reduction in the number of articles submitted to the journal from institutions based in India, one of our main sources of submissions. There was some delay from our reviewers in speedy completion of the review process.
To address these issues, the IJPO Editorial Team with the help of the Executive Council of Paediatric Society of India (POSI) have put in place several measures to improve the number of submissions and for the timely review of submissions. We will increase our presence on social media to expand our reach to young orthopaedic surgeons all over the world. We would like to invite our readers, particularly members of POSI and paediatric orthopaedic academic societies around the world, to join our panel of reviewers. This will provide members a direct insight into the review process and contribute to the dissemination of knowledge within the profession. This is a noble and worthwhile cause and we request your support.
We are also looking towards expanding our editorial board. The current team has been in place for over 6 years. It is time to introduce new talent and ideas, in the long-term interests of the journal.
This issue offers readers a comprehensive overview of the current thinking on the management of musculoskeletal infection in childhood. A series of five articles introduces readers to the basic pathophysiology of infections in the bone, progressing to acute osteomyelitis, mimics and sequelae of infection, and concluding with a review on tuberculosis. I am sure that this symposium will benefit orthopaedic postgraduates and practising surgeons.
We invite your suggestions and comments for any improvements to the journal. Kindly write to us editor@ijpo.com
Before I finish, it is my pleasure to acknowledge the contributions of Mr Saurabh Pullawar from Indian Orthopaedic Research Group who manages the page proofs, communications and the IJPO website single-handedly. The cover page artwork is by Dr Easwar T Ramani, POSI Webmaster and part-time artist. An explanatory note is available below this message.
Sincerely
Dr Jayanth S Sampath
Editor, International Journal of Paediatric Orthopaedics

The Two Hands
The two facets of care in septic arthritis, one delivering the surgical knockout punch and the other offering quiet support to the patient to help tide over the sequelae. Conceptualized as the two hands of the Pediatric Orthopedic Surgeon in this artwork.

How to Cite this Article: Sampat JS | Editorial | International Journal of Paediatric Orthopaedics | September-December 2023; 9(3): 01.| https://doi.org/10.13107/ijpo.2023.v09.i03.155

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Sequelae of Paediatric Musculoskeletal Infections

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Sequelae of Paediatric Musculoskeletal Infections

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