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An Overview of the Percutaneous Antibiotic Delivery Technique for Osteomyelitis Treatment and a Case Study of Calcaneal Osteomyelitis.

AbstractBACKGROUND:
A percutaneous antibiotic delivery technique (PAD-T) used for the adjunctive management of osteomyelitis is presented.
METHODS:
This surgical technique incorporates a calcium sulfate and hydroxyapatite (calcium phosphate) bone void filler acting as a carrier vehicle with either an antibiotic or an antifungal medicine, delivering this combination directly into the area of osteomyelitis.
RESULTS:
The benefit of the PAD-T is reviewed with a case presentation of a successfully treated calcaneal osteomyelitis.
CONCLUSIONS:
No previously reported PAD-T using a simple bone cortex incision in the adjunctive treatment of osteomyelitis has been reported. The PAD-T safely and effectively uses a calcium sulfate and hydroxyapatite bone void filler carrier vehicle to deliver either an antibiotic or an antifungal medicine directly into the area of osteomyelitis.
AuthorsJeffrey C Karr
JournalJournal of the American Podiatric Medical Association (J Am Podiatr Med Assoc) Vol. 107 Issue 6 Pg. 511-515 (Nov 2017) ISSN: 1930-8264 [Electronic] United States
PMID29252017 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Bacterial Agents
  • Vancomycin
  • Tobramycin
Topics
  • Anti-Bacterial Agents (administration & dosage)
  • Calcaneus
  • Female
  • Humans
  • Methicillin-Resistant Staphylococcus aureus
  • Middle Aged
  • Osteomyelitis (drug therapy)
  • Staphylococcal Infections (drug therapy)
  • Tobramycin (administration & dosage)
  • Vancomycin (administration & dosage)

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