Reincorporation of early diaphysial sequestra and bone remodelling in extensive haematogenous osteomyelitis in children

Abstract

Six cases of extensive haematogenous osteomyelitis in children have been described in whom segments of early diaphysial sequestra got reincorporated and remodelled following prolonged protection of the the limb in a plaster cast and administration of antibiotics. Five of these 6 cases were below 5 yr of age. In another group of 6 cases of haematogenous osteomyelitis of tibiae in children, where the diaphysial segment was bare due to necrosis of skin, it failed to reincorporate and went on to complete sequestration probably because of the lack of vascularity, and destruction of the periosteum.