CHRONIC OSTEOMYELITIS AT DANTEC-UNIVERSIT ARY-HOSPITAL, DAKAR (SENEGAL)

The authors report 82 cases of osteomyelitis treated and followed up a t the CHU Le Dantec, from March 1979 to September 1991. The patients w ere young, with an average age of 18 and a half years. Some susceptibi lity factors were identified: malnutrition (12.20%) and sickle cell an emia (26.83 %). The infection was more frequently located on long bone s of the lower limber (62.77 %) and mainly on the metaphysis. Fistula forms with sequestra were the most frequent ones. Sixty-six patients w ere healed right after the first operation, 13 after two operations, 3 after three operations, the laters were mainly relapsing cases relate d to insufficient curreting of the infected bone or persisting sequest rum.