Osteomyelitis surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Osteomyelitis}} | {{Osteomyelitis}} | ||
{{CMG}} | {{CMG}}; {{AE}}{{MehdiP}} | ||
==Overview== | ==Overview== | ||
Osteomyelitis | Osteomyelitis may require surgical [[debridement]]. Severe cases may lead to the loss of a limb. | ||
==Surgery== | |||
*There is a wide range of techniques and methods for less aggressive [[debridement]] and reconstruction surgery.<ref name="pmid18385975">{{cite journal |vauthors=Game FL, Jeffcoate WJ |title=Primarily non-surgical management of osteomyelitis of the foot in diabetes |journal=Diabetologia |volume=51 |issue=6 |pages=962–7 |year=2008 |pmid=18385975 |doi=10.1007/s00125-008-0976-1 |url=}}</ref> | |||
*The goal is to remove sequestra and infected tissues, followed by reconstruction or plastic surgery to save the skeletal structure.<ref name="pmid15223504">{{cite journal |vauthors=Parsons B, Strauss E |title=Surgical management of chronic osteomyelitis |journal=Am. J. Surg. |volume=188 |issue=1A Suppl |pages=57–66 |year=2004 |pmid=15223504 |doi=10.1016/S0002-9610(03)00292-7 |url=}}</ref> | |||
*Limb [[amputation]] is another option if the infection is so severe that the limb cannot be salvaged by the surgeon.<ref name="pmid18442163">{{cite journal |vauthors=Berendt AR, Peters EJ, Bakker K, Embil JM, Eneroth M, Hinchliffe RJ, Jeffcoate WJ, Lipsky BA, Senneville E, Teh J, Valk GD |title=Diabetic foot osteomyelitis: a progress report on diagnosis and a systematic review of treatment |journal=Diabetes Metab. Res. Rev. |volume=24 Suppl 1 |issue= |pages=S145–61 |year=2008 |pmid=18442163 |doi=10.1002/dmrr.836 |url=}}</ref> | |||
*Patients with other co-morbidities such as [[Diabetes mellitus|diabetes]] or [[peripheral vascular diseases]] stand a higher risk of limb amputation.<ref name="pmid15223504">{{cite journal |vauthors=Parsons B, Strauss E |title=Surgical management of chronic osteomyelitis |journal=Am. J. Surg. |volume=188 |issue=1A Suppl |pages=57–66 |year=2004 |pmid=15223504 |doi=10.1016/S0002-9610(03)00292-7 |url=}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | |||
[[Category:Orthopedics]] | |||
[[Category: | [[Category:Emergency mdicine]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category: | [[Category:Up-To-Date]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Latest revision as of 23:28, 29 July 2020
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Osteomyelitis surgery On the Web |
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American Roentgen Ray Society Images of Osteomyelitis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
Osteomyelitis may require surgical debridement. Severe cases may lead to the loss of a limb.
Surgery
- There is a wide range of techniques and methods for less aggressive debridement and reconstruction surgery.[1]
- The goal is to remove sequestra and infected tissues, followed by reconstruction or plastic surgery to save the skeletal structure.[2]
- Limb amputation is another option if the infection is so severe that the limb cannot be salvaged by the surgeon.[3]
- Patients with other co-morbidities such as diabetes or peripheral vascular diseases stand a higher risk of limb amputation.[2]
References
- ↑ Game FL, Jeffcoate WJ (2008). "Primarily non-surgical management of osteomyelitis of the foot in diabetes". Diabetologia. 51 (6): 962–7. doi:10.1007/s00125-008-0976-1. PMID 18385975.
- ↑ 2.0 2.1 Parsons B, Strauss E (2004). "Surgical management of chronic osteomyelitis". Am. J. Surg. 188 (1A Suppl): 57–66. doi:10.1016/S0002-9610(03)00292-7. PMID 15223504.
- ↑ Berendt AR, Peters EJ, Bakker K, Embil JM, Eneroth M, Hinchliffe RJ, Jeffcoate WJ, Lipsky BA, Senneville E, Teh J, Valk GD (2008). "Diabetic foot osteomyelitis: a progress report on diagnosis and a systematic review of treatment". Diabetes Metab. Res. Rev. 24 Suppl 1: S145–61. doi:10.1002/dmrr.836. PMID 18442163.