ASKEP OSTEOMYELITIS PDF
askep osteomielitis – Fakultas Keperawatan – Read more about osteomyelitis, tissue, chronic, debridement, staphylococcus and aureus. ASKEP OSTEOMIELITIS. FN. Farid Nugroho. Updated 30 December Transcript. NIC. ASKEP 3. PENGKAJIAN. NOC. NIC. NOC. ASKEP 2. Twelve children, aged years at presentation, diagnosed with pyogenic osteomyelitis of the forearm bones, were reviewed retrospectively. The radius was.
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In the patients with chronic osteomyelitis, gap defects with sequestra were seen in two patients and two others had large sequestra with bone defects of cm. Unequal growth results in joint instability at either end. Materials and methods Twelve children, aged years of age at first presentation, were reviewed retrospectively between and at a osteomyeoitis hospital Table I.
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The stability provided by the ulna at the elbow and at the wrist by the radius is lost and stress is transmitted from the radius to the ulna. Regeneration of a segmental bone defect after acute osteomyelitis due to an animal bite. Acta Orthopaedica Blgica ; J Bone Joint Surg ;74A: The wrist was kept in a neutral position in all transfers. The circular external fixation apparatus with its ability to correct deformity, gain length and transport bone, maybe a useful adjunct in treating radial club hand deformity.
The distal radial metaphysis maybe intact or resorbed, resembling a congenital radial club hand. However, in cases seen in this study the periosteal tube was destroyed in the infective process. The resected proximal radius was used as bone graft around the synostosis site, following its subperiosteal removal.
The remaining two had distal radial involvement and pus was found deep to the pronator quadratus muscle at surgical exploration.
Conclusion The reconstruction of the forearm bones for defects following pyogenic osteomyelitis can be difficult especially if the articular surfaces and bone ends are resorbed.
These two patients also had radial head dislocation Figure 1a. Vascular problems may occur. The metacarpophalangeal joints remained stiff. There was good grip and function of both joints. The forearm is short, the wrist unstable and the hand grip is weak. The contents of this lsteomyelitis is the sole work of the authors. Services on Demand Article.
Treatment of the radial club hand deformity due to osteomyelitis has been described by several authors. This is mainly a descriptive account of the experience with pyogenic osteomyelitis of the radius and ulna.
English pdf Article in xml format Article references How to cite this article Automatic translation. Acute osteomyelitis complicating a closed radial fracture in a child. Mattar et al 43 had good results in 12 patients with defects between cm. Successful autogenous cortico-cancellous grafting of a radial osteomyyelitis complicating acute haematogenous osteomyelitis in an infant.
Three children with chronic infection were referred with established defects from outlying hospitals. Reconstructive surgery for a defect in the shaft of the ulna due to osteomyelitis. The two children with resorption of the ulna distal to the olecranon had transposition of the radial shaft to the sskep ulna through a defect in the interosseous membrane to create a onebone forearm.
Methods used to obtain bone union include cancellous bone, strut grafts from the iliac crest or the tibia, bone segments over a wire, nonvascularised fibular struts, vascularised pedicle grafts, bone transfer and carpal transposition to the ulna.
Two infants were younger than a year at the time of primary infection. The resected proximal radius can be used as bone graft around the synostosis site. Arch Dis Child ; In the chronic stage, osteomyelitis of the ulna or radius may be associated with pathological fracture, sequestrum formation, cavities and sinuses. There was some oateomyelitis of periosteum of the ulna which formed a useful bed for incorporation of bone graft.
The other patient with radial club hand deformity, had shortening of 20 cm due to growth arrest of the radius and ulna in infancy. The remaining child presented with a short radius. One patient was lost to followup after osteomyelitiz weeks.
Two with defects of cm, had segmented bone grafts 1.
ASKEP OSTEOMIELITIS by Farid Nugroho on Prezi
Defects of the ulna shaft can result ostemyelitis curvature of the intact radius and consequent dislocation of the radial head resulting in instability of the elbow and a cosmetic deformity. However, most surgeons opposed it because of the complex reconstructive problems which followed failure of bone regeneration. The remaining nine children were seen later, after two weeks, with established signs of chronic infection. Acquired radial club hand deformity due to osteomyelitis. If metaphyseal and articular deficiency of the radius exists, transposition of the carpus to the ulna produces a stable wrist and improves cosmesis.
The production of one-bone forearm as a salvage procedure after hematogenous osteomyelitis. J Bone Joint Surg ;57A: In six patients with chronic osteomyelitis treatment involved curettage, debridement and sequestrectomy, with resulting bone defects. The wrist was stable following carpal transposition to the ulna. All reconstructive procedures healed by 3 months. Reconstruction of the forearm after loss of the radius.
Clin Infect Dis ; Since then, several case reports have appeared on the reconstruction of a onebone forearm for large radial or ulna defects.
Donor site morbidity was minimal. All children had improved function. J Bone Joint Surg ;64B: