Limb Preserving Surgical Treatment of Osteomyelitis in the Foot:

Foot & Ankle Orthopaedics

UteWaldecker¹ 

关键词: osteomyelitis;    ulcer recurrence;    diabetic foot;   

DOI  :  10.1177/2473011416S00215

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:OtherIntroduction/Purpose:Osteomyelitis of the foot and ankle is a challenging problem. In the literature the outcome of limb preserving surgical treatment is characterized by a high percentage of osteomyelitis recurrence and revision surgery. The aim of this study was to evaluate the outcome of limb preserving surgery of osteomyelitis in the foot.Methods:From 2013 to 2015 42 patients with a mean age of 66 years underwent surgical treatment of osteomyelitis in the foot. Patients who were treated with amputations were excluded from the study. In all patients initial surgery with debridement, bone resection, bone biopsy, jet lavage and gentamycin inlay was performed. Depending on the clinical findings revision surgery and finally resection arthroplasty or arthrodesis followed. All patients had an antibiotic treatment for 6 weeks. The location of the osteomyelitis, the applied surgical procedure, the number of surgical procedures, the number of postoperative complications, the recurrence rate of ost...

【 授权许可】

CC BY