ABSTRACT
UNLABELLED: The osteitis is a frequent and dangerous affection in Mali. OBJECTIVE: To describe the epidemio-clinical and therapeutic aspects of the osteitis in the service of Orthopedic and Traumatology of Gabriel TOURE hospital of Bamako. MATERIAL AND METHODS: The study was retrospective and carried on 145 osteitis recovered among 130 patients of January 1994 to December 2003. Have been included the patients affected by osteitis and treaties in the service during the period of study. Have not been included those that presented other bony affections. RESULTS: The set counts 80.77% of men, 19.23% of women, sex ratio 4.2, age middle 21 years 2 months with extremes of 2 and 86 years. The most affected age group was 11-20 years with 48.46%. The pupils--students were the more concerned with 30.77%. Normal haemoglobin AA has been found at 80.77% of the patients; on the other hand 19.23% had a hemoglobinopathy. The etiology post-traumatic has been found in 57.70% of the cases. The germ the more frequently recovered was the staphylococcus aureus: 58.63%. The lower member has been reached more frequently: 79.31%. The most often reached bone was the tibia--48.28%. The hold in initial charge was made by the traditional healer at 57.69% of the patients. Have been treated 74.48% of the osteitis surgically. The sequestrectomy with bony curettage was the surgical technique the more used: 60.18%. The antibiotics have been used in the treatment of the osteitis according to the sensitivity of the germs identified. They have been prescribed alone or in association. The result of the treatment of the osteitis was good in 50.34% of the cases, means in 24.14% and bad in 25.52%. CONCLUSION: The osteitis stays an important problem because a very big number of our populations have recourse in case of illness, to the traditional healer, the impostor or the marabou. The antibiotics certainly revolutionized the treatment of the osteitis but their use must be more discriminatory based on a very precise antibiogramm. The surgery keeps a place of choice again in the treatment of the osteitis.