Doctors Lounge - Orthopedics Answers
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Forum Name: Bone infections
Question: post bone surgery question
|fishmandaddy - Sat Oct 27, 2007 10:54 am||
Scott Long, Pryor Ok
My son, age 11, had surgery on the bone in his leg (top of the tibia) last week. The Doctor thought he had an infection in the bone. When he opened him up he found a hole in the bone and an area that was soft and brown. He said post-surgery that it did not look like infection and it was being sent to pathology and the microbiology lab for cultures and we would know what it was. We received the information back from the cultures and they were all negative. The sample was never sent to pathology, so we will never get back a report on it. Now the Doctor is saying that he is pretty sure it was an infectious area and he should be fine. I have some major problems with this. One is that right after surgery he said it did not look like infection and now that we are not getting the pathology report he says it is infection. The next thing is if it is infection why wouldn't he treat him with antibiotics. The referring orthopedist said that is what is done with bone infection. On e of the main problems we have is my son's grandfather died of cancer at the age of 32. He had gone to Houston to the cancer treatment center there and they had never seen his type of cancer and could not even say where it originated.
We see the Doctor Monday, what should we say to him? Has anyone heard of this type of circumstance with his bone?
|Dr. Chan Lowe - Sat Oct 27, 2007 4:39 pm||
This is a difficult situation. If it were an infection of the bone (termed osteomyelitis) it does need antibiotics. Typical treatment for osteomyelitis is upwards of 6 weeks of antibiotics to be sure the infection is cleared.
If it isn't an infection, the pathology would have been very nice to see. It may simply have been a bone cyst that will likely no need any more treatment. Cancer is less likely given the description of finding a hole in the bone. Cancers are more commonly solid tumors of the bone.
Follow up with the orthopedic surgeon is important.
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