Antibiotic-impregnated cement spacer as definitive management for osteomyelitis
| Autor: | Hong-fei Shi, Xin Zheng, Yi-xin Chen, Xia Guo, Hai-jun Mao, Yancheng Zhu, Xu-sheng Qiu, Guang-yue Xu |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Sports medicine medicine.medical_treatment Rheumatology medicine Humans Orthopedics and Sports Medicine Tibia Spinal cord injury Aged Debridement business.industry Osteomyelitis Bone Cements Disease Management Crutch Middle Aged medicine.disease Anti-Bacterial Agents Surgery Calcaneus Orthopedic surgery Female business Follow-Up Studies Research Article |
| Zdroj: | BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| DOI: | 10.1186/s12891-015-0704-1 |
| Popis: | Background Osteomyelitis is a challenge for orthopaedic surgeons. There is a lack of scientific evidence to guide treatment. The purpose of this study was to report the clinical outcome of unplanned retention of antibiotic-impregnated cement spacer (ACS) in the management of osteomyelitis. Methods Eight patients (7 with tibial infections and 1 with a calcaneal infection) with osteomyelitis received radical debridement and insertion of an ACS into the bone defect as the definitive management. The mean follow-up period was 2 years (6 months to 4 years). All of these patients had a cement spacer in place. Results No patient exhibited radiographic evidence of excessive bone loss. The patients reported no or occasional mild pain and exhibited complete weight-bearing abilities, with the exception of one patient who required a crutch because of a spinal cord injury. Signs of recurrence of the osteomyelitis were not noted in any of the patients, and no fractures occurred at last follow-up. Conclusion Our study suggests that a proportion of patients with unplanned retention of ACS appear to function well without necessarily requiring further surgical intervention. |
| Databáze: | OpenAIRE |
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