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The Beit CURE Classification of Childhood Chronic Haematogenous Osteomyelitis--a
guide to treatment
#MMPMID26384208
Stevenson AJ
; Jones HW
; Chokotho LC
; Beckles VL
; Harrison WJ
J Orthop Surg Res
2015[Sep]; 10
(?): 144
PMID26384208
show ga
BACKGROUND: The Beit CURE (BC) classification is a radiographic classification
used in childhood chronic haematogenous osteomyelitis. The aim of this study is
to assess correlation between this classification and the type and extent of
treatment required. METHODS: We present a retrospective series of 145 cases of
childhood chronic haematogenous osteomyelitis classified using the BC
classification. Variables measured include age, sex, bone involved, number of
admissions, length of stay, type/number of operations and microbiology. RESULTS:
The most commonly affected bone was the tibia (46%), followed by femur (26%) and
humerus (10%). Bone defects were most common in the tibia. Staphylococcus aureus
was the most commonly isolated organism. Type B, sequestrum type, was the most
common (88%), followed by type C, sclerotic type, (7%) and type A, Brodie's
abscess (5%). Types A and B1 had the shortest length of hospitalisation (11
days), type B4 had the longest (87 days). Types A and B1 had the fewest infection
control operations. Type B4 had the greatest total number of operations.
CONCLUSIONS: This study shows that the BC classification can guide surgical
strategy and help predict length of inpatient treatment and number and type of
procedures required.
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