Publications by authors named "M Glombitza"
[Isolated osseous tuberculosis : Differential diagnosis of treatment refractory osteomyelitis?].
Unfallchirurgie (Heidelb)
January 2025
We report the case of a 66-year-old female patient with a treatment refractory disorder of wound healing of the knee, who had already been treated several times surgically and with antibiotics for several months. The examination revealed a skin defect with a fistula in the region of the knee joint. The X‑ray imaging showed an extensive bony defect of unclear etiology.
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- The study investigates the effectiveness of tibial intramedullary nails in treating chronic osteomyelitis, specifically comparing gentamycin-coated nails (ETNs) and uncoated nails (UCNs) in a group of previously treated patients.
- Out of 56 patients analyzed, postoperative complications occurred in 45%, with a slightly higher rate in the ETN group; however, 86% achieved bony consolidation, indicating that the procedure has potential benefits despite risks.
- The authors conclude that while complications exist, the process offers significant functional advantages like stability and comfort, with an acceptable risk of reinfection, making it a viable option for treating chronic osteomyelitis. *
Background: The induced membrane technique has been developed to address bone defect of critical size from various origins. Despite its exceptional efficacy, several cases underwent a failure, which is regularly associated with a septic problem. The best way to conduct in this situation remains debated.
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