Abstract
This a unique case report of an otherwise healthy 54 year-old man who was sustained a battle-field injury from high-velocity gun-shots leading to right knee disarticulation and sacral fracture and subsequent sacral osteomyelitis, which are extremely rare. Sacral osteomyelitis and sacral fracture without neurologic injury has not been reported, and, to our knowledge, this is only the first case of sacral osteomyelitis without neurologic compromise due to a foreign body and its management in the English literature. Of 23 reported cases of sacral osteomyelitis (secondary to non biological materials that was used in the index procedure or unknown etiology), there is not one reported case of sacral osteomyelitis secondary to a missile fragment. Our case was described in detail, including the method of osteomyelitis management, and a review of the literature regarding the etiology of the condition also is presented.
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