| Autor: |
Laughlin RT; Wright State University, Department of Orthopedic Surgery, Dayton, Ohio 45440, USA., Reeve F, Wright DG, Mader JT, Calhoun JH |
| Jazyk: |
angličtina |
| Zdroj: |
Foot & ankle international [Foot Ankle Int] 1997 Sep; Vol. 18 (9), pp. 575-7. |
| DOI: |
10.1177/107110079701800908 |
| Abstrakt: |
Plantar puncture wounds to the foot are a common injury. A small number (1.8%) of these puncture wounds become infected and progress to osteomyelitis. The purpose of this article is to report the cases of six patients who developed osteomyelitis of the calcaneus after a puncture wound to the heel caused by a nail. The characteristics of the patients, the pathogenic organism, and the outcome were studied. Patients who were healthy and had no systemic illness (N = 4) had only one pathogenic organism cultured, whereas patients who had systemic illness (diabetes mellitus, N = 2) had more than one pathogenic organism cultured. The only amputation in this group occurred in a patient with diabetes mellitus. It was concluded that diabetic patients who develop calcaneal osteomyelitis from a nail puncture wound are more likely to have multiple pathogens cultured. Furthermore, if a diabetic neuropathy is also present, the nail puncture wound may be the initial injury leading to a chronic ulceration, increasing the risk of amputation. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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