Staged arthrodesis using the Masquelet technique for osteomyelitis of the finger with articular destruction: a report of two cases

Osteitis of the fingers is a serious infection that needs early diagnosis and appropriate surgical debridement and antibiotic treatment of the infected bone. If the effects of treatments are insufficient, long-term antibiotic treatment and repeated operations could be required. In worst cases, some...

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Bibliographic Details
Published in:Archives of orthopaedic and trauma surgery 2019-07, Vol.139 (7), p.1025-1031
Main Authors: Ono, Rana, Komura, Shingo, Hirakawa, Akihiro, Hirose, Hitoshi, Tsugita, Masanori, Masuda, Takahiro, Ito, Yoshiki, Akiyama, Haruhiko
Format: Article
Language:English
Subjects:
Antibiotics
Cement
Defects
Diabetes
Drug resistance
Handsurgery
Hemodialysis
Magnetic resonance imaging
Medicine
Medicine & Public Health
Orthopedics
Pain
Patients
Skin & tissue grafts
Staphylococcus infections
Surgery
Trauma
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Summary:Osteitis of the fingers is a serious infection that needs early diagnosis and appropriate surgical debridement and antibiotic treatment of the infected bone. If the effects of treatments are insufficient, long-term antibiotic treatment and repeated operations could be required. In worst cases, some patients may have to undergo amputation. Recently, the usefulness of the Masquelet technique in extensive traumatic bone defects has been reported. We herein describe two cases of immunocompromised patients with purulent osteitis involving joint destruction of the finger treated by two-stage arthrodesis using the Masquelet technique. They obtained good infection control and better function of the finger than before the operation. Moreover, there was no recurrence of the infection. The Masquelet technique could be an alternative technique for osteitis with high risk of amputation.
ISSN:0936-8051
1434-3916
DOI:10.1007/s00402-019-03197-5