End-capping of Amputation Stumps with a Local Antibiotic Containing Hydroxyapatite Bio-composite - A Report of 13 Cases with Chronic Lower Limb Osteomyelitis

Overview

Journal J Orthop

Specialty Orthopedics

Date 2019 Dec 28

PMID 31879490

Authors

Anoop Anugraha

Noman Jehangir

Mohammed Alqubaisi

Asan Rafee

Nasser Kurdy

Anand Pillai

Affiliations

Soon will be listed here.

Abstract

We present our novel technique of end capping of amputation stumps with absorbable antibiotic containing hydroxyapatite bone cement as a marrow plug controlling bleeding and achieving high local concentration of antibiotics in cases complicated by chronic osteomyelitis.Our case series consisted of 13 patients who underwent lower limb amputations for chronic medullary osteomyelitis.Of 13 patients 12 had below knee and 1 had above knee amputation. All wounds healed uneventfully without any surgical site infection. There were no stump hematomas/seromas or instances of recurrent stump osteomyelitis or need for revision surgery.

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