Franklin Austin, Valencia Angel, Do Dang-Huy, Golden Ann, Koehler Daniel
Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
J Hand Surg Glob Online. 2025 Feb 20;7(3):100705. doi: 10.1016/j.jhsg.2025.01.014. eCollection 2025 May.
Acute and chronic osteomyelitis of the phalanges may lead to digital amputation because of the difficulty of adequately debriding infected tissue, while concurrently maintaining the delicate function of the digit. In our patient with osteomyelitis of the proximal and distal thumb phalanges as well as the adjoining interphalangeal joint, we used a reamer-irrigator-aspiration system, commonly used in nonunion and long bone osteomyelitis, to effectively ream the intramedullary canals of the phalanges. This allowed for adequate debridement and irrigation of our patient's deep space infection using a minimally invasive approach, while avoiding more extensive debridement or amputation. After completion of 6 weeks of intravenous antibiotics, this patient successfully cleared the osteomyelitis while maintaining the function of her thumb.
由于难以充分清创感染组织，同时还要维持手指的精细功能，指骨的急慢性骨髓炎可能会导致手指截肢。在我们这位患有拇指近节和远节指骨以及相邻指间关节骨髓炎的患者中，我们使用了一种常用于骨不连和长骨骨髓炎的扩髓-冲洗-吸引系统，有效地对指骨的髓腔进行扩髓。这使得我们能够采用微创方法对患者的深部间隙感染进行充分清创和冲洗，同时避免更广泛的清创或截肢。在完成6周的静脉抗生素治疗后，这位患者成功清除了骨髓炎，同时保留了拇指的功能。
