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7Treatment - wound closure and definitive stabilization

Medullary osteomyelitis (type I)

Definitive stabilization

-The anatomical classification ( see Cierny classification) of adult bone infection helps to determine the method of definitive stabilization when the fracture has not united.

Medullary osteomyelitis (type I) is usually associated with an intramedullary nail, which may, or may not, have been removed during initial surgery for infection. Once the tissue is healthy, the bacteria are sensitive, and the patient is systemically healthy, it may be appropriate to restabilize the fracture with another nail.