Cavitary osteomyelitis treated by fragmentary cortical bone transportation.
Fragmentary cortical bone transportation can be used to fill large gaps in chronic cavitary osteomyelitis when standard techniques have failed. A low-energy corticotomy can create a loose fragment of cortex with periosteal attachments and surface blood supply still intact. This "vital" fragment can be gradually pulled across a defect within a bone to restore the integrity of the bone segment by distraction osteogenesis. The biologic principles for successful distraction osteogenesis by this innovative technique are illustrated in a 41-year-old man with chronic cavitary (150 cc) (four years) osteomyelitis refractory to multiple debridements, Papineau grafting, gentamicin beads, and tricalcium phosphate.
Aronson
J
J
University of Arkansas for Medical Sciences, Little Rock.
D000328:Adult; D001852:Bone Lengthening / Q000295:instrumentation / Q000379:methods*; D001861:Bone Regeneration; D006801:Humans; D008297:Male; D010012:Osteogenesis; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography