Young female patient 24 years old with carcinoid Tumour and ASD in the heart, long history of knee pain and fever and the pain only relieved by steroid, presented to me with knee swelling and flexion 60 degree, after MRI and PXR distal femur it was perosteal reaction and when I open the femral condyle the pus was under tension, drainage and AB sus release was added , oxygen therapy is dangerous to her , what is next ?
A very challenging scenario..
Let's hope she is cured by the local antibiotic administration following the debridement. This is a logical step in these settings. At times, we need to repeat the procedure in some cases. Culture results should guide further treatment.
These links may help you
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3837876/
https://www.researchgate.net/publication/263777109_Clinical_use_and_safety_of_a_novel_gentamicin-releasing_resorbable_bone_graft_substitute_in_the_treatment_of_osteomyelitisosteitis
Dear Abdelsamie: An option is Masquelet technique
The Concept of Induced Membrane for Reconstruction of Long Bone Defects
- Jan 2010
- Orthopedic Clinics of North America
- 📷Alain C Masquelet
- 📷Thierry Bégué