Third Department of Orthopaedic Surgery, University of Athens Medical School, KAT Hospital, Nikis Avenue 2, Kifisia, 14651, Athens, Greece.
Third Department of Orthopaedic Surgery, University of Athens Medical School, KAT Hospital, Nikis Avenue 2, Kifisia, 14651, Athens, Greece.
Foot (Edinb). 2021 Jun;47:101796. doi: 10.1016/j.foot.2021.101796. Epub 2021 Mar 12.
Isolated osteomyelitis of the cuboid bone is an extremely rare condition. A 32 year old man was evaluated for a painful and swollen right foot after a penetrating trauma and the presence of a sinus in the lateral aspect the midfoot. MRI findings were consistent with the presence of cuboid osteomyelitis. The patient underwent a two stage procedure which included partial excision of the cuboid bone, the use of a cemented spacer for lateral column length preservation, followed by arthrodesis of the calcaneocuboid joint with a tricortical autologous bone graft harvested from the ilium and preservation of the cuboid-metatarsal joints. At 4 years follow up, the patient is asymptomatic. Diagnosis of isolated cuboid osteomyelitis requires high clinical suspicion and a two stage procedure is an effective approach for symptomatic patients who do not respond to conservative treatment. LEVEL OF CLINICAL EVIDENCE: IV.
跗骨骨 骨髓炎是一种极罕见的疾病。一名 32 岁男性因穿透性创伤和中足外侧窦道出现疼痛和肿胀的右脚而接受评估。MRI 结果与跗骨骨髓炎的存在一致。患者接受了两阶段手术，包括部分切除跗骨、使用水泥固定间隔物以保持外侧柱长度，然后进行跟骰关节融合术，并从髂骨采集三皮质自体骨移植以保留跗骨-跖骨关节。在 4 年的随访中，患者无症状。孤立性跗骨骨髓炎的诊断需要高度的临床怀疑，对于对保守治疗无反应的有症状患者，两阶段手术是一种有效的方法。临床证据等级：IV 级。
