A Novel Technique for the Surgical Treatment of Chronic Osteomyelitis of Long Bones: A Case Report. Issue 3 (July 2015)

• Record Type: Journal Article
• Authors: Bean, CPT Betsey K.; Grassbaugh, LTC Jason A.
• Is Part Of: JBJS case connector. Volume 5:Issue 3(2015)
• Publication Date: 2015-07
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.N.00244
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A twenty-eight-year-old man sustained an open, comminuted tibial plateau fracture from a gunshot wound. Treatment included external fixation, serial debridements, and subsequent open reduction and internal fixation. Five months later, he developed chronic osteomyelitis of the proximal part of the tibia. Intraosseous debridement and irrigation with an arthroscope and arthroscopic tools was performed through existing bone screw holes. At the time of the final follow-up, he had resolution of pain and no recurrent infection. Conclusion: This minimally invasive technique may be considered for the treatment of chronic osteomyelitis of long bones to prevent structural destabilization and minimize disability.