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Jeong, Kim, Lee, Moon, Park, Kim, and Kim: Acute Osteomyelitis following Closed Femoral Shaft Fracture in a Child - A Case Report -
Case Report
Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2008; 43(5): 651-654.

Published online: 31 October 2008

DOI: https://doi.org/10.4055/jkoa.2008.43.5.651

Acute Osteomyelitis following Closed Femoral Shaft Fracture in a Child - A Case Report -

Changhoon Jeong, M.D., Hyoung-Min Kim, M.C., Kee-Heang Lee, M.D., Chan-Woong Moon, M.D., Il-Jung Park, M.D., Chan-Kyu Kim, M.D., Youn Soo Kim, M.D.

Department of Orthopedic Surgery, Holy Family Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.

Address reprint requests to Youn Soo Kim, M.D. Department of Orthopedic Surgery, Holy Family Hospital, College of Medicine, The Catholic University of Korea, 2, Sosa-dong, Wonmi-gu, Bucheon 420-717, Korea. Tel: +82.32-340-2260, Fax: +82.32-340-2671, osdryskim@korea.com

Copyright © 2008 The Korean Orthopaedic Association

Abstract

Acute osteomyelitis following a closed fracture is very rare. Only one case has been reported that trivial trauma (contusion) may be associated with the subsequent development of acute osteomyelitis in Korea. Authors report an acute osteomyelitis in the shaft of the femur after closed fracture in a child.

Keywords: Acute osteomyelitis, Closed fracture, Femur, Child

Figures and Tables

Fig. 1
Initial A-P and lateral roentgenograms showed left femur shaft fracture with a small comminuted fragment.
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Fig. 2
Post-operative roentgenograms.
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Fig. 3
(A) Microscopic finding (H-E stain, ×40) showed calcified bone fragment (black arrow) and marked acute inflammatory reactions. (B) Microscopic finding (H-E stain, ×200) showed mononuclear cells infiltrated in the bone (black arrow heads) and in the surrounding soft tissue also (white arrow).
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Fig. 4
Open reduction and internal fixation with plate and screws, and autogenous iliac bone graft was done at POD 11 week.
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Fig. 5
Fracture was united well at POD 3 year, but 1.5cm lengthening was noted at fractured femur.
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References

1. Aalami-Harandi B. Acute osteomyelitis following a closed fracture. Injury. 1978. 9:207–208.
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2. Baharuddin M, Sharaf I. Acute haematogenous osteomyelitis: an unusual complication following a closed fracture of the femur in a child. Med J Malaysia. 2001. 56:Suppl D. S54–S56.
3. Canale ST, Puhl J, Watson FM, Gillespie R. Acute osteomyelitis following closed fractures. Report of three cases. J Bone Joint Surg Am. 1975. 57:415–418.
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4. Hardy AE, Nicol RO. Closed fractures complicated by acute hematogenous osteomyelitis. Clin Orthop Relat Res. 1985. 201:190–195.
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5. Veranis N, Laliotis H, Vlachos E. Acute osteomyelitis complicating a closed radial fracture in a child. A case report. Acta Orthop Scand. 1992. 63:341–342.
6. Yum JK, Oh YM. Acute osteomyelitis in the shaft of the radius after contusion of the for forearm: a case report. J Korean Fracture Soc. 2005. 18:198–201.
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