Abstract
BackgroundSevere fracture-related infections demand extended infection control treatment and bone-soft tissue reconstruction. We present a case of chronic osteomyelitis and soft-tissue loss treated using continuous local antibiotic perfusion. Case presentationA 67-year-old woman underwent osteosynthesis for a left tibial diaphysis fracture and subsequent implant removal upon bone union. At age 63, she developed skin ulcers with distal tibial bone exposure, and 4 years later, sustained another left tibial diaphysis fracture, diagnosed as a chronic osteomyelitis pathological fracture. We initiated continuous local antibiotic perfusion to control infection, followed by osteosynthesis, latissimus dorsi flap placement, and bone grafting after 2 weeks. Five months post-injury, the infection resolved, and her original walking ability was restored. ConclusionContinuous local antibiotic perfusion shows promise in significantly shortening the treatment duration for fracture-related infections with chronic osteomyelitis and soft tissue loss.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
