Forty-nine cases of calcaneal osteomyelitis in 47 patients were evaluated between 1984 and 1993.
Data on all osteomyelitis patients was collected prospectively in a computer data base.
This data was reviewed to determine aetiology, pathogenic organisms and host characteristics of the patients.
Aetiology was divided into five groups :
diabetes mellitus (n=21) ;
central nervous system lesion (n=10) ;
post-traumatic (n=9) ;
nail puncture wounds (n=5) ;
and other (n=2).
Each case was staged using the Cierny-Mader classification for osteomyelitis :
IIA (n=3) ;
IIB (n=16) ;
IIIA (n=10) ;
IIIB (n=18) ;
Pathogenic organisms were categorized by each type of aetiology and host (A=uncompromised, B=compromised).
Compromised hosts and patients with impaired sensation had more organisms cultured than uncompromised hosts.
Treatment consisted of culture specific antibiotics (all) ; irrigation and debridement/partial calcanectomy (29) ; debridement with free flap (three) ; below knee amputation (10) and above knee amputation (one).
All amputations were done in B hosts with impaired sensation.
Eight of the 11 amputations were in diabetic patients.
Patients with impaired sensation more commonly had multiple organisms cultured from their wounds and had a higher rate of amputation.
Mots-clés Pascal : Ostéite, Calcanéum, Infection, Etiologie, Exploration microbiologique, Relation hôte agent, Epidémiologie, Etude longitudinale, Traitement, Homme, Membre inférieur, Système ostéoarticulaire pathologie, Ostéopathie, Pied pathologie, Bactériose, Agent pathogène
Mots-clés Pascal anglais : Osteitis, Calcaneum, Infection, Etiology, Microbiological investigation, Host agent relation, Epidemiology, Follow up study, Treatment, Human, Lower limb, Diseases of the osteoarticular system, Bone disease, Disease of the foot, Bacteriosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0464971
Code Inist : 002B05B02J. Création : 22/03/2000.