AI Article Synopsis
- A case of chronic osteomyelitis was treated by removing part of the cuboid bone and implanting an antibiotic-infused cement spacer, after a wooden object caused an infection in the patient's foot.
- After six months, the patient showed no signs of infection or complications, and their foot function remained normal without the need for additional supports.
- It's important to consider osteomyelitis when diagnosing bone issues in the foot, especially if there's a history of injury.
Article Abstract
Background: A case of chronic osteomyelitis with Brodie's abscess of the cuboid caused by a wooden foreign body penetrating the plantar foot. Total cuboidectomy was carried out with implantation of an anatomically molded antibiotic-impregnated cement spacer with culture-specific postoperative intravenous antibiotics. At six months of follow-up, the patient was completely asymptomatic without evidence of a recurrence of infection. Final radiographs also didn't show spacer migration or surrounding bone erosions. The spacer obviated the need for any foot fusion which preserved foot biomechanics. The patient didn't need to use any braces or insoles.
Conclusion: Osteomyelitis should always be on the differential list of lytic lesions of the tarsal bones, especially if there is a history of prior foot trauma. In this case, cuboid excision and placement of an antibiotic-impregnated cement spacer provided sustained relief of symptoms without evidence of recurrence or complications for six months. V.
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Source |
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195890 | PMC |
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