The Struggle of Infection Eradication in A 24-Year-Old Male with Chronic Femoral Osteomyelitis Treated with Masquelet Technique
DOI:
https://doi.org/10.31282/joti.v4n2.73Keywords:
chronic, osteomyelitis, bone gapAbstract
Introduction: Post-traumatic chronic osteomyelitis is a multi-factorial disease needing holistic and long-term care with the aim to fully eradicate infection and filling bone defects. Though meticulous debridement is urgently needed as a part of treatment, it often leaves a significant bone defect postoperatively. Until now, there has not been a lot of literatures describing the efficacy of Masquelet Technique in femoral osteomyelitis.
Case Presentation: Our case revealed a 24-year-old patient with this condition after numerous surgical and antibiotic treatments. Masquelet technique was finally used in order to fill the resultant femoral bone gap, after a subsequent two-staged procedure, the result seems promising in terms of infection eradication.
Discussion: Surgical intervention along with proper antibiotic therapy are the key to successful treatment. However, internal host factors also play important roles, such as the extent of soft tissue damage, sufficiency of blood supply, the condition of bacterial flora, fracture site instability, and host immunity. Masquelet procedure has the advantages of less X-Ray examination, faster union rate, and the healing time that is independent from the defect length. However, Masquelet technique is not suitable for limb length discrepancy and malalignment correction.
Conclusion: This case report presents the challenge of treating post-traumatic chronic femoral osteomyelitis through a series of surgical and antibiotic therapy. Masquelet technique, eventually, seems to be a promising surgical procedure of choice in eradicating the infection.
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