- Plain radiographs still provide the best screening for acute and chronic osteomyelitis.
- MRI, bone scintigraphy, and CT may be used to determine diagnosis and treatment decisions.
- The decision to use oral or parenteral antibiotics should be based on micro-organism sensitivity results, patient compliance, infectious disease consultation, and the surgeon's experience.
- A suppressive antibiotic regimen should be culture-directed.
- Staphylococcus aureus is the pathogen most commonly isolated in cultures.
- Operative treatment includes debridement, obliteration of dead space, restoration of blood supply, adequate soft tissue coverage, stabilisation, and reconstruction.
Last updated: Jun 14, 2013