Reconstructive treatment of sclerosing osteomyelitis of the entire femur of 30 years' duration with avoidance of segmental resection.
We describe the successful operative treatment of a patient with chronic sclerosing osteomyelitis of the femur in which en bloc resection was avoided. Therapy consisted of combined endoscopic, computed tomography and bone scan-guided fenestration and intramedullary reaming, with removal of all sclerotic zones and normalization of the cortical thickness. An adequate supply of oxygen to the area was ensured by improved vascularisation and the application of hydrogen peroxide. At the medium term follow-up no recurrence was seen, and hip and knee function was normal.
Department of Orthopedic Surgery, Westfälische Wilhelms-Universität Münster, Germany.
D
D
Bettin
B
B
Rolauffs
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C
von Eiff
J
J
Sciuk
D001843:Bone Cements / Q000627:therapeutic use; D016025:Bone Transplantation; D002908:Chronic Disease; D005269:Femur / Q000601:surgery; D005360:Fibula / Q000637:transplantation; D005839:Gentamicins / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D019904:Polymethyl Methacrylate / Q000627:therapeutic use; D011859:Radiography; D019651:Plastic Surgery Procedures; D012598:Sclerosis; D013203:Staphylococcal Infections / Q000601:surgery; D014055:Tomography, Emission-Computed
D001843:Bone Cements; D005839:Gentamicins; D019904:Polymethyl Methacrylate