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AimsTo investigate the short-term outcome of treatment of chronic osteomyelitis where management was based on a refined host stratification system.MethodsA retrospective review of 109 adult patients with chronic osteomyelitis.ResultsAt a minimum follow-up of 12 months (range 12-36) we observed an overall success rate of 89.9% (95% CI: 82.7-94.9%). There was no statistically significant difference in success rates by host status (p-value = 0.201).ConclusionBy integrating the redefined host status and treatment strategy, we were able to achieve comparable short-term outcomes in both low and high-risk cases while maintaining a low rate of amputation.

Original publication





Journal of orthopaedics

Publication Date





184 - 192


Tumour, Sepsis and Reconstruction Unit, Department of Orthopaedics, School of Clinical Medicine, University of KwaZulu-Natal, Grey's Hospital, Pietermaritzburg, 3201, South Africa.