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. 2017 Jul 25;17:516. doi: 10.1186/s12879-017-2621-4

Table 1.

Cierny and Mader clinical staging system for adult chronic osteomyelitis28

Anatomic type
I Medullary osteomyelitis
II Superficial osteomyelitis
III Localized osteomyelitis
IV Diffuse osteomyelitis
Physiological Class
A Good immune system and delivery
B Compromised locally (BL) or systemically (BS)
C Requires suppressive or no treatment; minimal disability; treatment worse than disease; not a surgical candidate
Clinical Stage
Type + Class = Clinical stage