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7Treatment - wound closure and definitive stabilization

Superficial osteomyelitis (type II)

Superficial osteomyelitis (type II) is typical of a healed fracture with superficial bone necrosis, often deep to a plate. After removal of the plate, this superficial necrotic bone is removed with a burr, or a chisel, until underlying bleeding bone is reached. Replacement fixation is only needed if fracture healing is tenuous.
Wound coverage (closure, or partial thickness skin grafting) may follow soon after such superficial surgical excision, once resolution of the infection is assured.