Osteomyelitic cavity as a form of chronic osteomyelitis termed by radiological morphology

Introduction Osteomyelitic cavity is one of manifestations of chronic osteomyelitis (cOM) that requires continuous application of both non-operative and surgical interventions. The condition is often recurrent. The study of bone quality, techniques for identifying boundaries of pathological process...

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Main Authors: Galina V. Diachkova, Nikolai M. Kliushin, Alexsander L. Shastov, Konstantin A. Diachkov, Pavel V. Netsvetov, Tat'iana A. Larionova
Format: Article
Language:English
Published: Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics 2019-06-01
Series:Гений oртопедии
Subjects:
Online Access:http://ilizarov-journal.com/files/2019_2_09.pdf
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spelling doaj-3df59fa802624d3291f10ee99394411e2020-11-25T00:12:12ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2019-06-0125219920610.18019/1028-4427-2019-25-2-199-206Osteomyelitic cavity as a form of chronic osteomyelitis termed by radiological morphologyGalina V. Diachkova0Nikolai M. Kliushin1Alexsander L. Shastov2Konstantin A. Diachkov3Pavel V. Netsvetov4Tat'iana A. Larionova5Russian Ilizarov Scientific CenterRussian Ilizarov Scientific Center, Tyumen State Medical University, Tyumen, Russian FederationRussian Ilizarov Scientific CenterRussian Ilizarov Scientific CenterRussian Ilizarov Scientific CenterRussian Ilizarov Scientific CenterIntroduction Osteomyelitic cavity is one of manifestations of chronic osteomyelitis (cOM) that requires continuous application of both non-operative and surgical interventions. The condition is often recurrent. The study of bone quality, techniques for identifying boundaries of pathological process should contribute to the development of advanced methods of treatment to avoid recurrence. Material and methods Radiomorphological assessment of the femur and tibia was performed for 48 patients with cOM characterized by osteomyelitic cavities using polypositional radiology and multislice computed tomography (MSCT) and quantification of bone density produced at the cavity and throughout the bone. Results Review of MSCT findings showed involvement through the cortical bone thickness of osteomyelitic cavity, structural changes in the entire bone with sinuses, sequestrae and alterations in the soft tissues (n = 40). Cortical bone was entirely involved in the cavity, with sinus observed and half-length of the bone featured with normal structure and low density in five patients. COM was diagnosed with present fixation metal constructs (n = 2) and recurrence noted after cavity repair with osteoinductive material (n = 1). Conclusion The findings showed that osteomyelitic cavity in patients with cOM resulted in extensive disorders of bone structure and density, evident changes in cortical bone, multiple layers, defects, considerable density fluctuations in intramedullary canal, in particular.http://ilizarov-journal.com/files/2019_2_09.pdfchronic osteomyelitisosteomyelitic cavitylong boneMSCT
collection DOAJ
language English
format Article
sources DOAJ
author Galina V. Diachkova
Nikolai M. Kliushin
Alexsander L. Shastov
Konstantin A. Diachkov
Pavel V. Netsvetov
Tat'iana A. Larionova
spellingShingle Galina V. Diachkova
Nikolai M. Kliushin
Alexsander L. Shastov
Konstantin A. Diachkov
Pavel V. Netsvetov
Tat'iana A. Larionova
Osteomyelitic cavity as a form of chronic osteomyelitis termed by radiological morphology
Гений oртопедии
chronic osteomyelitis
osteomyelitic cavity
long bone
MSCT
author_facet Galina V. Diachkova
Nikolai M. Kliushin
Alexsander L. Shastov
Konstantin A. Diachkov
Pavel V. Netsvetov
Tat'iana A. Larionova
author_sort Galina V. Diachkova
title Osteomyelitic cavity as a form of chronic osteomyelitis termed by radiological morphology
title_short Osteomyelitic cavity as a form of chronic osteomyelitis termed by radiological morphology
title_full Osteomyelitic cavity as a form of chronic osteomyelitis termed by radiological morphology
title_fullStr Osteomyelitic cavity as a form of chronic osteomyelitis termed by radiological morphology
title_full_unstemmed Osteomyelitic cavity as a form of chronic osteomyelitis termed by radiological morphology
title_sort osteomyelitic cavity as a form of chronic osteomyelitis termed by radiological morphology
publisher Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
series Гений oртопедии
issn 1028-4427
2542-131X
publishDate 2019-06-01
description Introduction Osteomyelitic cavity is one of manifestations of chronic osteomyelitis (cOM) that requires continuous application of both non-operative and surgical interventions. The condition is often recurrent. The study of bone quality, techniques for identifying boundaries of pathological process should contribute to the development of advanced methods of treatment to avoid recurrence. Material and methods Radiomorphological assessment of the femur and tibia was performed for 48 patients with cOM characterized by osteomyelitic cavities using polypositional radiology and multislice computed tomography (MSCT) and quantification of bone density produced at the cavity and throughout the bone. Results Review of MSCT findings showed involvement through the cortical bone thickness of osteomyelitic cavity, structural changes in the entire bone with sinuses, sequestrae and alterations in the soft tissues (n = 40). Cortical bone was entirely involved in the cavity, with sinus observed and half-length of the bone featured with normal structure and low density in five patients. COM was diagnosed with present fixation metal constructs (n = 2) and recurrence noted after cavity repair with osteoinductive material (n = 1). Conclusion The findings showed that osteomyelitic cavity in patients with cOM resulted in extensive disorders of bone structure and density, evident changes in cortical bone, multiple layers, defects, considerable density fluctuations in intramedullary canal, in particular.
topic chronic osteomyelitis
osteomyelitic cavity
long bone
MSCT
url http://ilizarov-journal.com/files/2019_2_09.pdf
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