| Title | Closed double-lumen suction irrigation in the management of chronic diaphyseal osteomyelitis: long-term follow-up. | | Author(s) | Caesar BC, Morgan-Jones RL, Warren RE, Wade RH, Roberts PJ, Richardson JB | | Institution | Robert Jones and Agnes Hunt Orthopaedic Hospital, Hospital NHS Trust, Oswestry, Shropshire SY10 7AG, UK. ben_caesar@hotmail.com | | Source | J Bone Joint Surg Br 2009 Sep; 91(9):1243-8. | | MeSH | Adolescent
Adult
Aged
Anti-Bacterial Agents
Chronic Disease
Debridement
Diaphyses
Female
Follow-Up Studies
Humans
Irrigation
Male
Middle Aged
Osteomyelitis
Prospective Studies
Suction
Treatment Outcome
Young Adult
| | Abstract | Between November 1994 and June 1999, 35 patients referred to our Problem Fracture Service with chronic diaphyseal osteomyelitis were treated using a closed double-lumen suction irrigation system after reaming and arthroscopic debridement of the intramedullary canal. This is a modified system based on that of Lautenbach. Between June and July 2007 the patients were reviewed by postal questionnaire and telephone and from the case notes. At a mean follow-up of 101 months (2 to 150), 26 had no evidence of recurrence and four had died from unrelated causes with no evidence of recurrent infection. One had been lost to follow-up at two months and was therefore excluded. Four had persisting problems with sinus discharge and one had his limb amputated for recurrent metaplastic change. Our results represent a clearance of infection of 85.3% (29 of 34), with recurrence in 11.8% (4 of 34). They are comparable to the results of the Papineau and Belfast techniques, but with considerably less surgical insult to the patient. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 19721055 |
|
