title: A treatment strategy for complex cases of osteomyelitis in children and its applicability on three exemplary cases.
abstract: The aim of this study was to carry out a two-step surgical approach for complex cases of pediatric osteomyelitis. The surgical technique used here involved initial bone debridement and stabilization by a customized spacer (intramedullary Kirschner wires mantled with refobacin-palacosa cement). After infection eradication, the spacer was removed and distraction osteogenesis performed. This study included one boy and two girls (aged 7-10 years) with severe osteomyelitis (tibia: two, femur: one). At least 50% of the bone was initially resected, and either a bifocal physeal distraction (tibia) or callus distraction (subtrochanteric osteotomy) was performed. At discharge they were able to walk without assistance. Complete infection eradication and load restraining reconstruction was achieved in all three children.
authors: Department of Traumatology, Medical University of Vienna, Vienna, Austria. sebastian.baumbach@yahoo.com
authors: Sebastian F
authors: SF
authors: Baumbach
authors: Lukas
authors: L
authors: Hobohm
authors: Gerald E
authors: GE
authors: Wozasek
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001843:Bone Cements; D002648:Child; D003646:Debridement; D016267:External Fixators; D005260:Female; D005269:Femur; D006132:Growth Plate / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods*; D019857:Osteogenesis, Distraction; D010019:Osteomyelitis / Q000601:surgery*; D010027:Osteotomy / Q000379:methods; D011859:Radiography; D013977:Tibia
chemical_list: D000900:Anti-Bacterial Agents; D001843:Bone Cements