An eight-year-old boy had a sequestrum involving the entire femoral diaphysis removed before significant involucrum had formed. This procedure resulted in a large structural defect. Ten weeks later, the periosteum had completely repaired the effect, and no infection remained. The benefit in this case of early, radical sequestrectomy is discussed.
Get full access to this article
View all access options for this article.
References
1.
Eyre-BrookAL. The periosteum: its function reassessed. Clin Orthop Relat Res1984;189:300–6
2.
DaoudA, Saighi-BouaouinaA. Treatment of sequestra, pseudarthroses and defects in the long bones of children who have chronic hematogenous osteomyelitis. J Bone Joint Surg Am1989;71-A:1448–86
3.
ThomasDK, SanchezP, HoffmanEB. Chronic haemotogenous osteomyelitis in children. SA Orthopaedic Journal2007;Spring:8–13
4.
JainAK, SharmaDK, SethA, AroraA, TuliSM. Incorporation of diaphyseal sequestra in chronic haematogenous osteomyelitis. Int Orthop1995;19:238–41
5.
FowlesJV, LehouxJ, ZlitniM, KassabMT, NolenB. Tibial defect due to acute hematogenous osteomyelitis. J Bone Joint Surg Br1979;61-B:77–81
6.
SteinlechnerCWB, MkandawireNC. Non-vascularized fibular transfer in the management of defects of long bones after sequestrectomy in children. J Bone Joint Surg Br2005;87-B:1259–63
7.
YadavSS. Dual-fibular grafting for massive bone gaps in the lower extremity. J Bone Joint Surg Am1990;72-A:486–94
8.
SpiegelDA, PennyJN. Chronic osteomyelitis in children. Tech Orthop2005;20:142–52
