Sixty-four cases of acute haematogenous osteitis have been reviewed. The majority of these patients have been treated by high dose intravenous bolus injection of Cloxacillin. With this regime a primary healing rate of 96.8 per cent was achieved with a surgical intervention rate of 4.6per cent. It is concluded that routine surgery is not required in the treatment of this condition and that the mainstay of treatment should be vigorous antibiotic therapy.
HarrisNH. The place of surgery in acute osteomyelitis. J Bone Joint Surg1962; 44B:219.
3.
TruetaJMorganJD. Late results in the treatment of one hundred cases of acute haematogenous osteomyelitis. J Bone Joint Surg1954; 41:449–457.
4.
MannTS. Some aspects of acute haematogenous osteitis in children. Br Med J1963; 2:1561–1566.
5.
BlockeyNJWatsonJT. Antibiotics in acute osteomyelitis in children. J Bone Joint Surg1970; 52B:77.
6.
KhazenifarM.WeighillFJStanleyJK. The management of childhood osteomyelitis. Postgrad Med J1978; 54:541–544.
7.
BlockeyNJMcAllisterTS. Acute osteomyelitis in children. J Bone Joint Surg1972; 54B:299.
8.
WhartonMRBeddowFH. Clindamycin for acute osteomyelitis in children. Postgrad Med J1975; 51:166.
9.
MollenRABPiggotJ. Acute osteomyelitis in children. J Bone Joint Surg1977; 59B: 2–7.
10.
MorreyBFPetersonHA. Haematogenous pyogenic osteomyelitis in children. Ortho Clin North Am1975; 6:935–951.
11.
DickVQNelsonJDHaltalinDC. Osteomyelitis in infants and children: A review of 163 cases. Am J Dis Child1975; 129:1273–1278.
12.
WadeS. Choice of antibiotics in the management of acute osteomyelitis, and acute septic arthritis in children. Arch Dis Child1977; 52:679–682.
13.
HughesS. Radionucleotides in orthopaedic surgery. J Bone Joint Surg1980; 62B: 141–150.
14.
HandmakerHLeonardsR. The bone scan in inflammatory osseous disease. Semin Nucl Med1976; 6:95–105.
15.
MajdM. Radionucleotide imaging in early detection of childhood osteomyelitis and its differentiation from cellulitis and bone infection. Ann Radiol1977; 20:9–18.
16.
TrevesSKhetryJBrokerFHWilkinsonRHWattsH. Osteomyelitis: Early scintigraphic detection in children. Paediatrics1976; 57:173–186.
17.
O'BrienTMcManusF. Acute haematogenous osteitis. J Bone Joint Surg1982; 64B:454–455.
18.
RinskyLGorisHLSchurmanDJNagelDA. 99mTechnetium bone scanning in experimental osteomyelitis. Clin Orthop1977; 128:361–366.
19.
TrucklerRTMillerKESutherlandDHChadwickDL. Childhood pelvic osteomyelitis presenting as a ‘cold’ lesion on bone scan: Case report. J. Nucl Med1976; 17:620–622.
20.
RusoinLOStaabEV. Unusual bone scan findings in acute osteomyelitis: Case report. J Nucl Med1976; 17:617–619.
21.
LisbonaRRosenthalL. Observations on the sequential use of 99mTc phosphate complex and 67Ga imaging in osteomyelitis, cellulitis and septic arthritis. Radiology1977; 123:123–129.
22.
BurlesonRLJohnsonMCHeadH. Scintigraphic demonstration of experimental abscesses with intravenous 67Ga citrate and 67Ga labelled blood leucocytes. Ann Surg1973; 178:446–452.
23.
HandmakerH. Acute haematogenous osteitis–has the bone scan betrayed us?Radiology1980; 135:787–789.
24.
WaldvogelFAVaseyH. Osteomyelitis: The past decade. New Engl J Med1980; 303 (7):360–370.
25.
Lancet Editorial. Antibiotics for osteomyelitis. Lancet1975; 1:153–154.
26.
MullikS. Br Med J1972; 4:546.
27.
MerryweatherR. Br Med J1972; 4:546.
28.
British Medical Journal. Editorial. Br Med J1972;4:317–318.
