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- Title
Antibiotic-impregnated cement spacer as definitive management for osteomyelitis.
- Authors
Xu-Sheng Qiu; Xin Zheng; Hong-fei Shi; Yan-cheng Zhu; Xia Guo; Hai-jun Mao; Guang-yue Xu; Yi-xin Chen; Qiu, Xu-Sheng; Zheng, Xin; Shi, Hong-Fei; Zhu, Yan-Cheng; Guo, Xia; Mao, Hai-Jun; Xu, Guang-Yue; Chen, Yi-Xin
- Abstract
<bold>Background: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusion: </bold>Our study suggests that a proportion of patients with unplanned retention of ACS appear to function well without necessarily requiring further surgical intervention.
- Subjects
OSTEOMYELITIS treatment; ANTIBIOTICS; HEEL bone; OSTEORADIOGRAPHY; BONE fractures; OSTEOMYELITIS diagnosis; TIBIA surgery; BONE cements; LONGITUDINAL method; OSTEOMYELITIS; TIBIA; DISEASE management; SURGERY; THERAPEUTICS
- Publication
BMC Musculoskeletal Disorders, 2015, Vol 16, Issue 1, p1
- ISSN
1471-2474
- Publication type
journal article
- DOI
10.1186/s12891-015-0704-1