Osteomyelitis is most difficult to treat at the joints, and also at the distal 1/3 of the tibia.
1. At the joints: the pathological changes of osteomyelitis are mainly the destruction of bone structure and the formation of dead bone, which can be caused by infection, trauma and other factors. When osteomyelitis invades the articular cartilage or joint cavity, surgical convective irrigation and application of sensitive antibiotics can improve the inflammatory response, but it is difficult to treat intra-articular bone destruction.
2. Distal 1/3 of the tibia: The posterior aspect of the distal 1/3 of the femur can be affected by osteomyelitis resulting in the formation of a subperiosteal abscess, which in turn destroys blood vessels leading to a loss of blood supply to the local bone or the formation of a sinus tract. As the blood circulation in the area itself is relatively poor, the blood supply to the limb is poor, affecting the bone’s resistance to infection and recovery. Osteomyelitis is therefore difficult to treat.
Osteomyelitis is recommended to go to the orthopedic department of regular hospitals as soon as possible, so as not to delay the condition.