Chronic Suppurative osteomyelitis of complications and sequelae

Chronic Suppurative osteomyelitis to complications such as systemic complications and local complications. First, systemic complications (1) anemia, hypoproteinemia chronic suppurative disease osteomyelitis protracted, repeated long-term acute, fever and sinus within Nongxing secretions from the body will have a chronic consumption of damage. Hypoproteinemia anemia and chronic suppurative Osteomyelitis is a common complication. The existence of these complications, do not step into the body and reduce the ability of local resistance. Chronic Suppurative on the treatment of osteomyelitis added more negative factors, thus forming a vicious cycle. Therefore, in chronic purulent the treatment of osteomyelitis to correct anemia and treatment of low-protein is important. (B) systemic amyloidosis amyloid pathology, and organizational change is a degeneration, the systemic and limitations of both. Systemic amyloidosis associated with chronic suppurative osteomyelitis, as the long-term repeated suppurative inflammation. Pathology for the performance of the body organs of space, vascular basement membrane on the substance of the amyloid deposition. Sediment is actually a protein substance, but a case of iodine Blue nature. Diseases often serious organ damage. Fortunately, the disease rarely seen in China. Second, local complications (1) pathological bone fracture when the serious and extensive damage, and bone cladding has not yet formed, or bone cladding is not solid, in the external force, even if the outside is relatively minor, could result in fractures -- That is, pathological fractures. Therefore, during this period limb should be braking, traction with plaster fixed or treatment to prevent the occurrence of pathological fractures. Bone cladding to be fully formed and firmly, the removal can be fixed. (B) nonunion pathological fracture occurred after the right not to timely treatment, can occur nonunion. In addition, bone cladding has not yet fully formed before the surgery, removed large Sigu, can cause bone defects or nonunion. As local poor blood circulation, the destruction of bone is still continuing, this is very difficult to fracture healing, will be falling into a false joint, so that the whole treatment more complex and difficult. Pseudarthrosis two points, as a contact-type, a type of large bone defects, the latter treatment more difficult. (C) Septic Arthritis metaphysis suppurative osteomyelitis, abscess through two channels merge into the joint cavity Septic Arthritis. First, through traffic growth plate-vascular, abscess perforation of articular cartilage directly into the joints, a Septic Arthritis. This situation more common in infants and adults suppurative osteomyelitis. Another situation is when the metaphysis in the joint capsule (such as the femoral neck in the hip capsule), the abscess may stem epiphyseal Duangu cortex perforation into joints. Articular Nongye destruction of articular cartilage, bone cartilage violations seriously affected joint function, or even tonic. (D) of the spinal cord or nerve compression Mawei pyogenic spondylitis in particular, arch, laminectomy damage, abscesses, necrotic tissue and fibrous tissue can be new or cauda equina spinal cord compression caused paralysis or nerve root compression. This situation more common in cervical and thoracic spine. Infection can also spread to arachnoid arachnoid caused inflammation. (5) malignant transformation of chronic suppurative osteomyelitis in malignant disease more common in the elderly. Common in the course of more than 10 middle-aged male patients. Sinus surrounding skin due to chronic inflammatory stimulation can occur by malignant, most of the keratosis squamous cell carcinoma. Sinus wall of the Class of malignant cells also occurred, very few sarcoma changed. Clinical symptoms of pain to the affected area intensified, sinus expansion, easy bleeding, and there is increased secretion stench. Local examination showed granulation tissue proliferation, valgus, a cauliflower-like. In chronic suppurative osteomyelitis on the basis of the extensive destruction of the osteolytic, X-ray photo showed that the sinus bone surface equivalent to the edge of a very wide at the end of osteolytic destruction, periosteal reaction less, sometimes This shows that pathological fracture, should be considered for chronic suppurative osteomyelitis malignant change may occur. 3. Sequelae (a) ankylosis when lesions of the neighbouring joint and soft tissue can form scar or fibrous tissue adhesion, causing contracture of joints. Joint combined with violations of Septic Arthritis, if not promptly treated, Bude Dang, can occur late ankylosis. In particular, is a non-functional-tonic, the serious impact of joint function, the need for orthodontic treatment. (B) after the sudden spinal deformity pyogenic spondylitis, the vertebrae have been violated, the damage after the sudden severe deformities more obvious. (C) limb deformities shortened period of suffering from chronic suppurative osteomyelitis patients, such as lesions of epiphyseal growth plate and bone involvement could affect the normal development, growth will appear with age shortened limb malformations can also lead to the joint Exstrophy or Varus deformity. Such as the centre of the growth plate damage seriously and stop growth, and growth plate around the part of continued growth, the growth in the process of gradually buried in bone-ossification center, a pestle-like shortening deformity. On the other hand, sometimes stimulate the growth plate by the inflammation and excessive growth, suffering from bone than contralateral. The backbone of the preferred side of the lesion would bow was deformed bone disease.