J Korean Orthop Assoc.  2008 Oct;43(5):651-654. 10.4055/jkoa.2008.43.5.651.

Acute Osteomyelitis following Closed Femoral Shaft Fracture in a Child: A Case Report

• Jeong C
• Kim HM
• Lee KH
• Moon CW
• Park IJ
• Kim CK
• Kim YS

• KMID: 2186429
• DOI: http://doi.org/10.4055/jkoa.2008.43.5.651

Abstract

Acute osteomyelitis following a closed fracture is very rare. Only one case has been reported that trivial trauma (contusion) may be associated with the subsequent development of acute osteomyelitis in Korea. Authors report an acute osteomyelitis in the shaft of the femur after closed fracture in a child.

Keyword

Acute osteomyelitis; Closed fracture; Femur; Child

MeSH Terms

Child
Femur
Fractures, Closed
Humans
Korea
Osteomyelitis

Figure

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  Fig. 1 Initial A-P and lateral roentgenograms showed left femur shaft fracture with a small comminuted fragment.

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  Fig. 2 Post-operative roentgenograms.

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  Fig. 3 (A) Microscopic finding (H-E stain, ×40) showed calcified bone fragment (black arrow) and marked acute inflammatory reactions. (B) Microscopic finding (H-E stain, ×200) showed mononuclear cells infiltrated in the bone (black arrow heads) and in the surrounding soft tissue also (white arrow).

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  Fig. 4 Open reduction and internal fixation with plate and screws, and autogenous iliac bone graft was done at POD 11 week.

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  Fig. 5 Fracture was united well at POD 3 year, but 1.5cm lengthening was noted at fractured femur.

Reference

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