Clinical experience in the treatment of clavicular osteomyelitis in children
ZHANG Chun-xu
SUN Ke-ming
YAO Man-ye
GUO Zhan-hao
JI Ze-juan
Abstract：Objective To investigate the curative results of surgery combined with vacuum sealing drainage ( VSD ) in the treatment of children with clavicular osteomyelitis. Methods A total of 9 children with clavicular osteomyelitis adopted from January 2012 to January 2016 were included in this study. There were 6 males and 3 females, whose average age was 3.5 years old ( range: 1.2 - 10 years ). Among them, there were 8 cases of hematogenous infection and 1 case of infection after internal fixation due to clavicle fracture. All the patients were treated with blood culture before surgery, pus culture and pathological examination during the surgery. All the patients underwent thorough debridement, conventional tube flushing with sterile saline in the wound cavity and continuous suction. The synthesis of polymer foam dressing of the VSD device was cut into the same size as the wound cavity after debridement and drainage which was perpendicular to the skin piercing, and then was connected with the VSD pressure suction device. The sensitive antibiotics were chosen according to the results of drug sensitivity test. The rinse was clear. The VSD device was removed after the infection index became normal, with the replacement of negative pressure drainage ball. When the infection indicators of blood routine, C-reactive protein ( CRP ) and erythrocyte sedimentation rate ( ESR ) were normal for 2 consecutive times, and the culture results with washing liquid were negative for 2 consecutive times, the patients were treated with oral antibiotics and discharged. The patients were followed up at the 1st months, 3rd months and 6th months after discharge, so as to find their wound and sclerotin recovery conditions. Results Nine patients with clavicle osteomyelitis were treated for 27 - 38 days, with the replacement of VSD dressing for 1 - 2 times. Nine patients were followed up for an average period of 19 months ( range: 6 - 49 months ). After surgery, clavicle bone infection was effectively controlled. No infection occurred during the follow-up, without drainage tube prolapse or leakage. Conclusions The operation of local fenestration, tube drainage combined with VSD can effectively treat clavicle osteomyelitis in children with fewer complications, which should be promoted to apply in the hospital.
Keywords：ChildClavicleOsteomyelitisSurgical drainageVacuum sealing technique
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 530-534 )