{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:39:36Z","timestamp":1791401976540,"version":"4.3.3"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2014,4,7]],"date-time":"2014-04-07T00:00:00Z","timestamp":1396828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Chronic osteomyelitis (<jats:styled-content style=\"fixed-case\">COM<\/jats:styled-content>) causes major physical disability. In situations of limited resources and war zones, western world treatments are neither affordable nor sustainable. The International Committee of the Red Cross has established a <jats:styled-content style=\"fixed-case\">COM<\/jats:styled-content> treatment project in the Democratic Republic of <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ongo, with emphasis on affordability and sustainability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and sixty\u2010eight patients were treated for <jats:styled-content style=\"fixed-case\">COM<\/jats:styled-content>. The protocol focused on surgical excision of necrotic bone, physiotherapy and an open wound dressing method using granulated brown sugar.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010one patients could be reviewed with a mean follow\u2010up of 13.7\u00a0months (5\u201328\u00a0months). 46 patients (63.4%, 95% CI 52.5\u201375.6) had excellent\/good results in terms of clinical cure of the infection, and 36 patients (50.7%, 95% CI 38.7\u201362.7) had seen excellent\/good improvement in their functional status compared with before treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The above\u2010mentioned treatment protocol has shown encouraging results: almost two\u2010thirds of the patients had their infection clinically cured, and half the patients saw significant functional improvement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.12311","type":"journal-article","created":{"date-parts":[[2014,4,7]],"date-time":"2014-04-07T10:18:46Z","timestamp":1396865926000},"page":"832-837","source":"Crossref","is-referenced-by-count":14,"title":["Chronic osteomyelitis management in austere environments: the International Committee of the Red Cross experience"],"prefix":"10.1111","volume":"19","author":[{"given":"Marco","family":"Baldan","sequence":"first","affiliation":[{"name":"International Committee of the Red Cross Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard A.","family":"Gosselin","sequence":"additional","affiliation":[{"name":"International Committee of the Red Cross Geneva Switzerland"},{"name":"Institute for Global Orthopaedics and Traumatology University of California San Francisco CA 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