INFECTIONSTreatment of subperiosteal abscesses in children: is drainage of the intramedullary canal required?Montgomery, Corey O.a; Porter, Austin IIIb; Sachleben, Branta; Suva, Larry J.c; Rabenhorst, BrianaAuthor Information aDepartment of Orthopaedic Surgery, University of Arkansas Medical Sciences, Arkansas Children’s Hospital bArkansas Department of Health cDepartment of Orthopaedic Surgery, Center for Orthopaedic Research, University of Arkansas Medical Sciences, Little Rock, Arkansas, USA Correspondence to Corey O. Montgomery, MD, MS, Department of Orthopaedic Surgery, University of Arkansas Medical Sciences, Arkansas Children’s Hospital, 4301 W. Markham Street, Slot #531, Little Rock, AR 72205, USA Tel: +1 501 526 6534; fax: +1 501 686 7908; e-mail: [email protected] Journal of Pediatric Orthopaedics B: November 2017 - Volume 26 - Issue 6 - p 497-500 doi: 10.1097/BPB.0000000000000283 Buy Metrics Abstract Acute osteomyelitis can be successfully treated with antibiotics alone. Surgery is utilized after failure of antibiotic treatment or if an abscess is present. Limited evidence exists with regard to whether intramedullary drainage is required in addition to the drainage of the subperiosteal abscess. We reviewed our 9-year experience of treating subperiosteal abscesses identifying 68 patients. Thirty patients underwent both intramedullary and abscess drainage, whereas 38 patients underwent drainage of the abscess alone at the initial procedure. Our analysis demonstrated a statistical significance (P=0.012) and odds ratio of 6.46 in favor of an intramedullary drainage to decrease risk for need for repeat surgical treatment. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.