Surgical management of chronic osteomyelitis

American Journal of Surgery
Brad Parsons, Elton Strauss

Abstract

Chronic osteomyelitis is a surgical disease that can require significant dedication from both patients and surgeons to eradicate. Osteomyelitis can result from a variety of etiologies but most often is a consequence of trauma to a long bone, frequently the tibia. It is important to understand the etiology of the infection, as well as the pathophysiology of its chronicity. Additionally, the surgeon must individualize treatment for each patient, because host morbidities often play an important role in propagation of infection. Treatment requires isolation of the pathogens, significant debridement for removal of all infective and necrotic material, and then bony and soft tissue reconstruction. We review the literature of surgical treatment of chronic osteomyelitis and discuss the numerous techniques available to the treatment team, including debridement, dead space management, Ilizarov techniques, and vascularized reconstruction. These patients often require a multimodality approach that incorporates a team approach involving orthopedic and plastic surgery, as well as infectious disease and general medicine.

References

Dec 1, 1991·Plastic and Reconstructive Surgery·J B JupiterM J Yaremchuk
Apr 1, 1989·American Journal of Surgery·J H Calhoun, J T Mader
Apr 1, 1988·The Journal of Antimicrobial Chemotherapy·L O Gentry
Sep 1, 1973·The Journal of Trauma·C BurriH Henkemeyer
Nov 1, 1983·Clinical Orthopaedics and Related Research·S A Green, T A Dlabal
Sep 1, 1983·Clinical Orthopaedics and Related Research·M J PatzakisT M Moore
May 1, 1982·Plastic and Reconstructive Surgery·S J MathesN Chang
Sep 1, 1980·Clinical Orthopaedics and Related Research·L Lidgren, C Törholm
May 1, 1993·The Journal of Bone and Joint Surgery. British Volume·M A McNallyR A Mollan
Apr 2, 1999·Clinical Orthopaedics and Related Research·J T MaderJ H Calhoun
Apr 2, 1999·Clinical Orthopaedics and Related Research·D T Tsukayama
Apr 2, 1999·Clinical Orthopaedics and Related Research·K Tetsworth, G Cierny

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Citations

Feb 15, 2011·International Orthopaedics·Thierry Rod-FleuryIlker Uçkay
Jul 31, 2012·Current Infectious Disease Reports·Ilker UçkayDaniel Lew
Jun 23, 2010·Seminars in Plastic Surgery·David J PincusSeth R Thaller
May 28, 2011·Tissue Engineering. Part B, Reviews·James Oliver SmithRichard O C Oreffo
Nov 1, 2012·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Guillaume VillatteFederico Canavese
Feb 28, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Mehmet Ata GokalpAhmet Sebik
Nov 12, 2009·Infection·S EspositoUNKNOWN Bone Joint Infections Committee for the Italian Society of Infectious Tropical Diseases (SIMIT)
Feb 24, 2010·Injury·Konstantinos N MalizosDionysios Paridis
May 16, 2013·Orthopedics·Julia Sanders, Cyril Mauffrey
Feb 14, 2009·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Gunwook Park, Hyoheon Kim
Jan 2, 2008·Revue de chirurgie orthopédique et réparatrice de l'appareil moteur·T BauerA Lortat-Jacob
Nov 2, 2005·The Veterinary Clinics of North America. Small Animal Practice·June Hanks, Gary Spodnick
Apr 5, 2014·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·Ana Lucia L LimaUNKNOWN Diretrizes Panamericanas para el Tratamiento de las Osteomielitis e Infecciones de Tejidos Blandos Group
May 18, 2010·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Rachid HaidarBisharah Atiyeh
Apr 6, 2017·The Laryngoscope·Arun K Gadre, Richard A Chole
Apr 14, 2017·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·Werner Zimmerli, Parham Sendi
Aug 14, 2013·Orthopedics·Jeffrey Farrell, Laura W Bancroft
Sep 17, 2009·The Annals of Pharmacotherapy·Patricia I SealyJohn D Cleary
May 4, 2017·EFORT Open Reviews·Michalis Panteli, Peter V Giannoudis
Sep 30, 2017·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Katherine R HixonScott A Sell
Feb 16, 2018·Clinical Microbiology Reviews·Nicola KavanaghSteven W Kerrigan
Jul 10, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Darren WongBrad Spellberg
Mar 3, 2018·BMJ Case Reports·Yunes Nadim HammadAlan Norrish
Sep 29, 2006·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Ann Marie B VisoskyJohn S Oghalai
Aug 30, 2008·The Pediatric Infectious Disease Journal·Claude BachmeyerJean-Pierre Damsin
Oct 20, 2005·The Journal of Antimicrobial Chemotherapy·Tatu J MäkinenHannu T Aro
Nov 20, 2015·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Michael A NowakMark A Beilke
May 10, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Martin Krsak, Laura Damioli

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