Chronic Pandiaphysity with Chronic Osteomyelitis

Abstract

Introduction: Pandiaphysitis is a particular form of chronic osteomyelitis by the extent of infection on the diaphysis but also the risk of complications. It is disabling, tenacious, potentially life-threatening and is common in our developing countries where it is a public health problem. Objective: To describe the anatomo-clinical and therapeutic aspects of pandiaphytes in the orthopedic and trauma department of a low-income country. Material and method: This is a retrospective study from January 2009 to December 2016. We included patients treated in the department and whose file was complete. Results: We collected 29 cases of pandiaphysitis. The average age was 23.69 years old. There was a clear predominance of the male sex with a ratio of 3.83. The only land found was sickle cell disease (4 cases). Bloodborne infections were predominant. The consultation period ranged from 1 to 33 years. The preferred seat was the lower limb with 65.52% of cases. On radiography, the sequestering form was the most represented. The stapyloccocus aureus germ was the most represented organ (75% of patients). Antibiotic medical treatment was systematic (patients being received at the pushing stage). Surgical treatment was done in 25 patients. After evaluation, we had 44.83% favorable evolution. Complications and sequelae have been observed: recurrence, unequal limb length, deformities and one case of death. Conclusion: Pandiaphysitis is a serious pathology, causing multiple sequelae that negatively impact the quality of life of patients. Acute outbreaks can cause fatal sepsis.