Infective nonunion after fracture surgery can cause persistent pain and inflammatory exudate in patients, requiring long-term treatment. To treat infective nonunion, radical debridement of infective bone and soft tissue should be performed, followed by stable internal fixation and bone graft. Multiple treatment strategies need to be considered according to the classification of chronic osteomyelitis, size of the bone defect, degree of bone malalignment, and severity of the soft tissue injury. This paper reports a case of a patient treated with an antibiotic cement-coated nail and a Masquelet technique to treat the infected nonunion of the tibia with a bone defect and varus deformity.
Osteomyelitis of the patella is a very uncommon condition that occurs mostly in the pediatric population. In addition to its rarity, nonspecific and variable clinical presentations usually lead to postponement in making the correct diagnosis. Moreover, it is often missed as prepatellar bursitis or septic arthritis of the knee. Nonetheless making early diagnosis and initiating prompt treatment is most important to preventing this condition from becoming chronic. In this case report, the authors encountered this rare condition of the patella in a child that was first misdiagnosed with pyogenic arthritis or prepatellar bursitis of the knee. The delay in making the diagnosis led to intractable progression of the disease, and sequestrectomy was required to stabilize the condition.
Citations
Citations to this article as recorded by
Osteomyelitis of the Patella With Extension Into Parapatellar Soft Tissues in a Six-Year-Old Boy: A Case Report Abdulla Abdelwahab, Faatimah Irfaanah Muzammil, Abdulla Nidal, Mason Alnouri, Sattar Alshryda Cureus.2024;[Epub] CrossRef
Distraction osteogenesis with an Ilizarov external fixator is one of the most successful treatment options for large segmental bone defects after extensive debridement of chronic osteomyelitis in the tibial shaft. Its complications include skin irritation, pin tract infection, and non-union due to infection. There are few case reports on chronic osteomyelitis occurring in the distraction osteogenesis area. The authors experienced a chronic osteomyelitis in the distraction osteogenesis area of the tibial shaft and report this case with references.
Acute osteomyelitis after the contusion is a rare clinical entity. The complications of contusion are large hematoma formation, compartment syndrome, myositis ossificans and acute osteomyelitis. Authors experienced an acute osteomyelitis in the shaft of the radius after contusion of the forearm and report this case with references.
Citations
Citations to this article as recorded by
Acute Primary Hematogenous Osteomyelitis in the Epiphysis of the Distal Tibia: A Case Report With Review of the Literature Hyun-Jung Hwang, Woong-Kyo Jeong, Dae-Hee Lee, Soon-Hyuck Lee The Journal of Foot and Ankle Surgery.2016; 55(3): 600. CrossRef
Acute Osteomyelitis following Closed Femoral Shaft Fracture in a Child - A Case Report - Changhoon Jeong, Hyoung-Min Kim, Kee-Heang Lee, Chan-Woong Moon, Il-Jung Park, Chan-Kyu Kim, Youn Soo Kim The Journal of the Korean Orthopaedic Association.2008; 43(5): 651. CrossRef
In general, severe open fractures of the tibial shaft have been treated initially with external fixation. However, despite many refinements in this technique, it has been associated with numerous complications, including problems at the sites of pins, non-union, delayed union, malunion, and infection. The purpose of this retrospective study is to analyze the results in a consecutive series of patients. There were 8 males and 2 females with an average age of the 44.9 years(range, 26-64 years). The mean follow up period was 23.2 nibtgs(range, 34-120 days). Free flap procedures were performed on all patients. The average time between removal of the fixator and intramedullary nailing was 16.5 days(range, 11-26 days). Indication of conversion to nailing was abscence of any serous discharge, reddness or local heating around pin-sites and normal renge of laboratory data. All 10 fractures had united with additional bone graft in 7 cases. The most frequent complications were delayed union in 7 cases and infection(superficial infection: 6 cases, osteomyelitis: 1 case) after IM nailing. We concluded that pin-tract infection is the major cause of infection after IM nail, but duration of external fixation and time interval(between removal of external fixator and nailing) are not isolated factors.
Citations
Citations to this article as recorded by
Study on Instant Fish Cake Noodle Manufacturing Techniques Using Ultra-fine Powdered Kelp Yoo-Jin Park, Se-Jong Kim, Myung-Ryun Han, Moon-Jeong Chang, Myung-Hwan Kim Food Engineering Progress.2019; 23(3): 217. CrossRef
Treatment of Type IIIb Open Tibial Fractures Seong Yeon Lim, Il Jae Lee, Jae Ho Joe, Hyung Keun Song Journal of the Korean Fracture Society.2014; 27(4): 267. CrossRef