Email this article A multidisciplinary approach for the treatment of complication of hematogenous osteomyelitis in children
- Authors: Garkavenko Y.G.1,2, Semyonov M.G1,2, Troschieva D.О2
-
Affiliations:
- The Turner Scientific and Research Institute for Children’s Orthopedics
- North-Western State Medical University n.a. I.I. Mechnikov
- Issue: Vol 4, No 2 (2016)
- Pages: 29-36
- Section: Articles
- URL: https://journals.rcsi.science/turner/article/view/3049
- DOI: https://doi.org/10.17816/PTORS4229-36
- ID: 3049
Cite item
Open Access
Access granted
Subscription Access
Abstract
Background.
Severe orthopedic complications of osteomyelitis occurred in 22%–71.2% of children with osteomyelitis in previous studies. At the same time 26.5% of children with complications of osteomyelitis, according to data of The Turner Scientific and Research Institute for Children’s Orthopedics, have multiple bone lesions. The challenges involved in the orthopedic treatment of musculoskeletal system disorders are diverse and complex. In some cases, inadequate attention is paid to the need to treat the facial bones of the skull, temporomandibular joint (TMJ), and jaw bones.
Aim.
The aim of this paper is to demonstrate the need for a variety of options and to determine the best strategies for comprehensive medical rehabilitation, involving orthopedic and maxillofacial surgeons and other healthcare providers, for children with complications of osteomyelitis, who had destruction of the long tubular bones of the jaw.
Materials and methods.
Between 2011 and 2015 26 children (10 males and 16 females) aged 1.5–17 years with multiple localized lesions after osteomyelitis were treated in The Turner Scientific and Research Institute for Children’s Orthopedic. In addition to severe orthopedic disorders, there has been a loss of TMJ, which resulted in severe functional impairment and impaired development of the facial bones of the skull.
Results.
There was a individualized approach to the treatment of pediatric patients with complications of osteomyelitis. Early diagnosis and proper treatment prevented severe changes in the musculoskeletal system and maxillofacial area in pediatric patients.
Conclusion.
The modern concept of comprehensive medical rehabilitation of children with complications of osteomyelitis should include an interdisciplinary approach involving orthopedic and maxillofacial surgeons. Early diagnosis in children ensures the timely formation of individualized rehabilitation programs, designed to improve the anatomical and functional characteristics of the affected bones. Along with comprehensive orthopedic treatment, bone-reconstructive surgery of the facial bones of the skull should be focused on restoration of chewing function, external respiration, speech, and facial esthetics.Full Text
##article.viewOnOriginalSite##About the authors
Yury Garkavenko Garkavenko
The Turner Scientific and Research Institute for Children’s Orthopedics; North-Western State Medical University n.a. I.I. Mechnikov
Author for correspondence.
Email: yurijgarkavenko@mail.ru
MD, PhD, professor of the chair of pediatric traumatology and orthopedics. North-Western State Medical University n. a. I.I.Mechnikov, leading research associate of the department of bone pathology of The Turner Scientific and Research Institute for Children’s Orthopedics. Russian Federation
Mikhail G Semyonov
The Turner Scientific and Research Institute for Children’s Orthopedics; North-Western State Medical University n.a. I.I. Mechnikov
Email: sem_mikhail@mail.ru
MD, PhD, рrofessor, head of the department of maxillofacial surgery and surgical dentistry named after A.A. Limberg of North-Western State Medical University n. a. I.I.Mechnikov. Leading research associate of the of the department of maxillofacial surgery. The Turner Scientific and Research Institute for Children’s Orthopedics. Russian Federation
Darya О Troschieva
North-Western State Medical University n.a. I.I. Mechnikov
Email: troschieva_dariya@mail.ru
MD, PhD student of the Department of Maxillofacial Surgery and Surgical Dentistry n. a. AA. Limberg. North-West State Medical University n.a. II. Mechnikov Russian Federation
References
- Гаркавенко Ю.Е. Ортопедические последствия гематогенного остеомиелита длинных трубчатых костей у детей (клиника, диагностика, лечение): Автореф. дис. … д-ра мед. наук. - СПб., 2011. - 55 с. [Garkavenko YE. Ortopedicheskie posledstviya gematogennogo osteomielita dlinnyih trubchatyih kostey u detey (klinika, diagnostika, lechenie) [dissеrtation]. Saint Peterburg; 2011. 55 p. (In Russ).]
- Рогинский В.В., Берлова М.М., Арсенина О.И., и др. Реабилитация детей с анкилозирующими поражениями височно-нижнечелюстного сустава. Московский центр детской челюстно-лицевой хирургии. 10 лет: Результаты, итоги, выводы / Под ред. В.В. Рогинского - М.: Детстомиздат, 2002. - С. 189-208. [Roginskii VV, Berlova MM, Arsenina OI, et al. Reabilitatsiya detei s ankiloziruyushchimi porazheniyami visochno-nizhnechelyustnogo sustava. Moskovskii tsentr detskoi chelyustno-litsevoi khirurgii. 10 let: Rezultaty. itogi. vyvody. Moscow: Detstomizdat; 2002. P. 189-208. (In Russ).]
- Водолацкий М.П. Родовая травма челюстно-лицевой области и ее последствия. - Ставрополь, 1994. - 98 с. [Vodolatskii MP. Rodovaya travma chelyustno-litsevoi oblasti i eye posledstviya. Stavropol; 1994. 98 p. (In Russ).]
- Семенов М.Г., Кудрявцева О.А. Выбор между ранним многоэтапным или поздним одномоментным костно-реконструктивным лечением у детей с приобретенными деформациями лицевого отдела черепа. Часть I // Стоматология. - 2014. - № 3. [Semyonov MG, Kudryavtseva OA. Vyibor mezhdu rannim mogoetapnyim ili pozdnim odnomomentnyim kostno-rekonstruktivnyim lecheniem u detey s priobretennyimi deformatsiyami litsevogo otdela cherepa. Chast I. Stomatologiya. 2014;(3) (In Russ).]
- Семенов М.Г., Кудрявцева О.А., Гаркавенко Ю.Е. Выбор между ранним многоэтапным или поздним одномоментным костно-реконструктивным лечением у детей с приобретенными деформациями лицевого отдела черепа. Часть II // Стоматология. - 2014. - № 4. - С. 38-41. [Semyonov MG., Kudryavtseva OA., Garkavenko YE. Vyibor mezhdu rannim mogoetapnyim ili pozdnim odnomomentnyim kostno-rekonstruktivnyim lecheniem u detey s priobretennyimi deformatsiyami litsevogo otdela cherepa. Chast II. Stomatologiya. 2014;(4):38-41. (In Russ).]
- Комелягин Д.Ю. Компрессионно-дистракционный остеосинтез у детей с недоразвитием и дефектами нижней челюсти врожденного и приобретенного характера: Автореф. дис.. канд. мед. наук. - М., 2002. - 12 с. [Komelyagin DYu. Kompressionno-distraktsionnyi osteosintez u detei s nedorazvitiyem i defektami nizhney chelyusti vrozhdennogo i priobretennogo kharaktera: [dissertation]. Moscow; 2002. P. 12 (In Russ).]
Supplementary files
