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Osteomyelitis is an infectious disease caused by the penetration of bacteria into the bone marrow, the hematopoietic tissue in the bones. If the infection has progressed for more than three weeks, it is classified as chronic osteomyelitis.
Chronic osteomyelitis is considered a difficult disease to treat by both doctors and patients because the treatment process is very painful and recurrence is frequent.
The cause of osteomyelitis is mainly from open fractures. An open fracture is when the fracture site is exposed to the external environment. When these injuries and broken bones are exposed, the chances of bacteria penetrating into the wound and causing infection are very high.
In rare cases, osteomyelitis may occur due to surgery. Medical staff try to keep the surgical environment as hygienic as possible, but it can be said that there is a 1~2% chance of infection after surgery in all surgeries, including artificial joint surgery.
Treatment of osteomyelitis takes place in several stages. The first step is to surgically remove the bacteria, and then check for any remaining bacteria through culture testing. Once the bacteria have been cleaned, the second step is to insert bone cement mixed with antibiotics into the empty space. This will allow the antibiotic to seep out of the cement and kill any remaining bacteria. Wait for 3~6 months to check the progress, and finally, remove the cement and transplant bone tissue to complete the treatment.
Treatment of osteomyelitis takes place in several stages. The first step is to surgically remove the bacteria, and then check for any remaining bacteria through culture testing. Once the bacteria have been cleaned, the second step is to insert bone cement mixed with antibiotics into the empty space. This will allow the antibiotic to seep out of the cement and kill any remaining bacteria. Wait for 3~6 months to check the progress, and finally, remove the cement and transplant bone tissue to complete the treatment.
In fact, the treatment of osteomyelitis is most effective with the rapid removal of infected tissue. Not only is it difficult for antibiotics to reach dead tissue, but bacteria can hide through a shield called a biofilm. Therefore, if it is determined that there is no other option, the option is to have the body mutilated.
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