Disease / / June 16, 2016
Initiation purulent inflammation in the bones of old doctors were inclined to associate with injuries.In the second half of the nineteenth century it became clear the decisive role in the course of this process, pus-producing organisms.But the improvement of radiological research method at the beginning of the last century allowed to proceed to a detailed study of bone osteomyelitis.
Today, finally found that osteomyelitis is an infectious inflammatory process that affects all elements of the bone: the periosteum, the bone tissue, the bone marrow.The cause of osteomyelitis bone may be a variety of factors: the entry of pyogenic organisms bloodstream from other foci of infection, harmful germs can get into an open wound trauma, infection can spread to the bone from soft tissue enveloping her, etc.
Depending on the course of the disease osteomyelitis can be acute, chronic (of developing acute), chronic primary (occurs against a background of some diseases).Osteomyelitis can also be caused by some infe
acute form of traumatic osteomyelitis occurs as a result of gunshot wounds, and as a result of such an injury, as an open fracture.Particularly acute traumatic osteomyelitis is the spread of purulent inflammation of the bone at all in the absence of the primary tumor inflammation.
falling into fragments of bone and the development of them introduced from outside pyogenic microorganisms promotes broad and deep wound in the area of bone damage.In the process of development is influenced by other factors.Such as reduced immunity, virulence (degree of pathogenicity) microbes, displacement of bone fragments, condition of skin tissue in the fracture zone, etc.
tissue changes in the event of an acute traumatic osteomyelitis occurs in the following sequence: open fracture to the presence of a strong deep wound infection - rapid process of suppuration in the wound - the implementation of transition purulent inflammation of the broken bone.
symptoms of post-traumatic osteomyelitis are festering wounds, accompanied by a rise in temperature, deterioration of general condition of the patient.Pain in the bones appearing outside the wound, sometimes affecting the entire limb, indicates involvement of the festering bone.Local symptoms are reddening of the skin, swelling of the soft tissues and the pus from the depth of the wound.Localization osteomyelitic process often occurs at the wound site.appropriate medical measures are taken depending on the severity of the patient's condition.