关键词: brodie’s abscess cement spacer cuboid osteomyelitis total cuboidectomy

Mesh : Humans Osteomyelitis / drug therapy surgery Anti-Bacterial Agents / therapeutic use administration & dosage Bone Cements / therapeutic use Tarsal Bones / surgery diagnostic imaging Male Treatment Outcome Abscess / surgery diagnostic imaging drug therapy Foreign Bodies / surgery diagnostic imaging Adult

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Abstract:
UNASSIGNED: A case of chronic osteomyelitis with Brodie\'s abscess of the cuboid caused by a wooden foreign body penetrating the plantar foot. Total cuboidectomy was carried out with implantation of an anatomically molded antibiotic-impregnated cement spacer with culture-specific postoperative intravenous antibiotics. At six months of follow-up, the patient was completely asymptomatic without evidence of a recurrence of infection. Final radiographs also didn\'t show spacer migration or surrounding bone erosions. The spacer obviated the need for any foot fusion which preserved foot biomechanics. The patient didn\'t need to use any braces or insoles.
UNASSIGNED: Osteomyelitis should always be on the differential list of lytic lesions of the tarsal bones, especially if there is a history of prior foot trauma. In this case, cuboid excision and placement of an antibiotic-impregnated cement spacer provided sustained relief of symptoms without evidence of recurrence or complications for six months.Level of Evidence: V.
摘要:
一例慢性骨髓炎伴Brodie的长方体脓肿,由木质异物穿透足底引起。进行全立方体切除术,并植入解剖模制的抗生素浸渍的水泥垫片和培养物特异性术后静脉抗生素。在六个月的随访中,患者完全无症状,没有感染复发的证据。最终的X线照片也没有显示间隔物迁移或周围的骨侵蚀。间隔物消除了对保留足部生物力学的任何足部融合的需要。病人不需要使用任何牙套或鞋垫。
骨髓炎应始终在tar骨溶解性病变的差异列表中,尤其是有足部外伤史的.在这种情况下,长方体切除并放置抗生素浸渍的水泥垫片可持续缓解症状,且无复发或并发症的迹象,持续6个月。证据级别:V.
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