抗生素混合硫酸钙颗粒治疗跟骨骨髓炎：一例报告
Calcaneal Osteomyelitis Treated with Antibiotic Mixed Calcium Sulphate Pellets. A Case Report.
作者信息
Agrawal Alok Chandra, Ojha Mukund Madhav, Garg Deepak Kumar, Pandiyarajan E
机构信息
Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
出版信息
J Orthop Case Rep. 2021 Oct;11(10):80-82. doi: 10.13107/jocr.2021.v11.i10.2480.
BACKGROUND
Calcaneal osteomyelitis is a complicated entity and much more challenging to treat. We present a case of calcaneal osteomyelitis treated with debridement, curettage and filling bone defect with antibiotic mixed calcium sulphate pellets.
CASE REPORT
A female patient presented with pain, swelling and purulent discharge from the left heel. Culture studies and magnetic resonance imaging findings were suggestive of osteomyelitis of the calcaneum. The patient was planned for definitive treatment, and remission was achieved with systemic antibiotics, debridement, curettage, and filling dead space with antibiotic mixed calcium sulphate pellets.
CONCLUSION
Calcaneal osteomyelitis is very resistant to treatment and results in poor functional outcome. Management of calcaneal osteomyelitis with single-stage strategy using antibiotic mixed calcium sulphate effectively eradicates the disease to attain overall good functional outcome for the patient.
背景
跟骨骨髓炎是一种复杂的病症，治疗起来更具挑战性。我们报告一例采用清创、刮除术并用抗生素混合硫酸钙颗粒填充骨缺损治疗跟骨骨髓炎的病例。
病例报告
一名女性患者出现左足跟疼痛、肿胀及脓性分泌物。培养研究和磁共振成像结果提示跟骨骨髓炎。该患者计划接受确定性治疗，通过全身使用抗生素、清创、刮除术以及用抗生素混合硫酸钙颗粒填充死腔实现了病情缓解。
结论
跟骨骨髓炎对治疗具有很强的抵抗力，导致功能预后较差。采用抗生素混合硫酸钙的单阶段策略治疗跟骨骨髓炎可有效根除疾病，为患者带来总体良好的功能预后。
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