Salvage of Charcot foot neuropathy superimposed with osteomyelitis: a case report.
The risk of amputation is dramatically increased in diabetic patients with osteomyelitis of the foot complicated by Charcot neuroarthropathy. Antibiotic-impregnated cement beads have been widely reported in the treatment of deep soft tissue and bone infections. This case report demonstrates that this approach can also aid the management of infected, unstable diabetic Charcot foot.
Department of Orthopaedic Surgery, University of Texas Health Science Center, San Antonio, USA.
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CL
Ramanujam
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Zgonis
D000437:Alcoholism / Q000150:complications; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001177:Arthropathy, Neurogenic / Q000209:etiology / Q000628:therapy*; D001843:Bone Cements / Q000627:therapeutic use*; D020099:Coated Materials, Biocompatible / Q000627:therapeutic use*; D003646:Debridement; D017719:Diabetic Foot / Q000150:complications; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy / Q000379:methods; D010019:Osteomyelitis / Q000209:etiology*; D019904:Polymethyl Methacrylate / Q000627:therapeutic use; D012307:Risk Factors; D016879:Salvage Therapy / Q000379:methods*; D017592:Skin Care / Q000379:methods; D013203:Staphylococcal Infections / Q000150:complications; D016896:Treatment Outcome; D014946:Wound Infection / Q000150:complications
D000900:Anti-Bacterial Agents; D001843:Bone Cements; D020099:Coated Materials, Biocompatible; D019904:Polymethyl Methacrylate