title: Treatment of chronic osteomyelitis of the femur with combined technique.
abstract: Treatment of chronic osteomyelitis of the long bones is challenging due to infection and bone resection. The aim of this case presentation is to report an alternative method for chronic osteomyelitis of the femur. We aimed to provide acute and rapid shortening at the resected site, and lengthening from the metaphyseal bone of a 22-year-old male patient who applied with pain and discharge in the right thigh due to chronic osteomyelitis, and who had undergone three surgical procedures previously. A two-stage treatment was planned. At the first stage, bone resection, antibiotic-impregnated cement rod, and external fixator were applied. At the second stage, intramedullary femoral nail was applied, compression was continued to achieve the docking side in the resection area, and lengthening was performed to eliminate shortness. At the final follow-up, excellent bone and functional scores were obtained. The distraction-compression technique described here can provide successful results in the treatment of chronic osteomyelitis of the long bones.
authors.affiliation: Department of Orthopedics and Traumatology, Dr. Lütfi Kırdar Kartal Training and Research Hospital, 34890 Kartal, İstanbul, Turkey. dgulabi@yahoo.com.
authors.forename: Deniz
authors.initials: D
authors.lastname: Gülabi
authors.forename: Mehmet
authors.initials: M
authors.lastname: Erdem
authors.forename: Gültekin Sıtkı
authors.initials: GS
authors.lastname: Ceçen
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D001843:Bone Cements / Q000627:therapeutic use*; D001858:Bone Nails; D002908:Chronic Disease; D016267:External Fixators; D005269:Femur / Q000601:surgery; D006801:Humans; D008297:Male; D019857:Osteogenesis, Distraction; D010019:Osteomyelitis / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D001843:Bone Cements