关键词: Chronic osteomyelitis bone grafting cuboid puncture wound

来  源:   DOI:10.13107/jocr.2023.v13.i01.3506   PDF(Pubmed)

Abstract:
UNASSIGNED: Isolated osteomyelitis of the cuboid is a rare entity with very few case reports worldwide. A variety of treatment methods are described for these lesions, both single-stage and two staged and ranges from simple curettage to bone grafting and arthrodesis.
UNASSIGNED: We present a series of two cases of chronic osteomyelitis in young adults due to puncture wound over the lateral foot. Both patients presented with purulent discharge from sinus over lateral foot. There was no involvement of adjoining bones in them. Culture yielded Staphylococcus aureus and Pseudomonas aeruginosa. Both patients were treated with adequate curetting, saucerization with cancellous bone grafting in one of the cases. Both wounds healed uneventfully with good ankle and hindfoot function.
UNASSIGNED: The cuboid is a rare site of chronic osteomyelitis due to punture wounds with foreign bodies, especially in rural population. With meticulous curettage and bone grafting, the infection can be eradicated reliably and usually with good residual function.
摘要:
孤立的长方体骨髓炎是一种罕见的实体,在世界范围内很少有病例报告。描述了针对这些病变的多种治疗方法,单阶段和两阶段,范围从简单的刮除到植骨和关节固定术。
我们介绍了一系列两例年轻人由于足外侧的穿刺伤口而导致的慢性骨髓炎。两名患者均表现为外侧足窦的脓性分泌物。其中没有相邻骨头的参与。培养产生金黄色葡萄球菌和铜绿假单胞菌。两名患者均接受了充分的刮动治疗,其中一例采用松质骨移植术。两种伤口均愈合顺利,脚踝和后足功能良好。
长方体是慢性骨髓炎的罕见部位,由于有异物的伤口,尤其是农村人口。细致的刮宫和植骨,感染可以可靠地根除,通常具有良好的残留功能。
公众号