Nov. 26th, 2011

1. GENERAL ORTHOPEDIC Dr Bakhtyar
Baram
INFECTIONS

2. Even spontane infection
Postoperative or posttraumatic
infection

3. PATIENTS FACTOR
General condition.
Serum albumin
Immunologic factor.
Alcohol and medicine .

4. SURGICAL FACTORS
Preparation,Skin ster.
Operationmethode.
Operation theater

5. DIAGNOSIS
Clinically
Lab. Test,CRP,ESR,Leucocyte.biopsy,C/S
X-ray
Ultasound
CT scaning
MRI
Bonescintigraphy and isotopscaning,or
leucocytescin.

6. ACUTE HAEMATOGEN OSTEOMYLITIS
 Incidence
 Physiology
 Examination,labr., bloodculture, x-ray, acute MRI,
Aspiration&biopsy
 Treatment
 Antibiotic alone
 Antibiotic not alone when…………
 Complications
 Purulent arthritis,cartilage destruction and OA ,
 Chronic OM,fracture,DV T,deg.epiphyse ,

7. SUBACUTE HAEM. OM
 Lesser GH ef fect
 Subfebrile or no fever
 Lab.test almost negative
 Mostly pain
 Brodie abscese.
 X-ray,MRI,Biopsy
 Treatment
 Biopsy,revision, antibiotic.

8. CHRONIC OM
 Weeks until one year after the acute OM or trauma.
 Aetiology
 Clinically
 Treatment
 1 .Radical excision
 2.rerestructuring goodvascular soft tissue.
 3.bone rerestruc. And stability
 4.Antibiotic
Bone TB

9. PURUELENT-INF.- ARTHRITIS
Reactive or infection
Pathogenese and aetiology
Diagnosis
Treatment
Biopsy or aspiration,,C/S, surgery
and antibiotic .

10. SOFT TISSUE INFECTIONS
 Abscese.
 Erysipelas or skin streptococuse infection.
 Gasgangren.
 Diagnosis and aetiology.
 Treatment.
 Facitis necrotis
 Aetiology
 Sympt.&sign.
 treatment

11. POSTOPERATIVE INFECTIONS

12. POSTTRAUMATIC INFECTIONS

13. POSTARTHROPLAST Y INFECTIONS