| dc.description.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. | en_US |
