Can Antibiotic Beads Have An Impact In Osteomyelitis Cases?

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The patient had a midfoot amputation and a chronic, non-healing wound with heavy wound bed contamination and sub-acute osteomyelitis.
After debridement of the wound site and infected bone, a tendon transfer, and the use of bioengineered tissue and vancomycin impregnated absorbable beads, the patient’s wound healed in approximately two months.
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Author(s): 
By Anthony C. Yung, DPM, and John S. Steinberg, DPM

Dr. Yung is a Chief Resident and Dr. Steinberg (shown at right) is an Assistant Professor within the Department of Orthopaedics, Podiatry Division at the University of Texas Health Science Center in San Antonio, Texas.

Editor’s Note: For a related article, see “Can The Osteoset Lead To Better, Cost-Effective Healing?,” on page 70 of the December 2002 issue or check out the archives at www.podiatrytoday.com.




References:

References

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10. Richelsoph KC, Petersen DW, Haggard WO, et al. Elution characteristics of tobramycin-impregnated medical grade calcium sulfate hemihydrate. Proceedings from the 44th Annual Meeting of the Orthopaedic Research Society, 1998.

11. Wichelhaus TA, Dingeldein E, Rauschmann M, Sluge S, Dieterich R, Schafer V and Brade V. Elution characteristics of vancomycin, teicoplanin, gentamicin and clindamycin from calcium sulphate beads. Journal of Antimicrobial Chemotherapy. 48: 117-119 2001.)

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Erik Ouderkirk, DPMsays: August 11, 2011 at 11:39 pm

Exactly the information I was looking for. Thank you.

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