Providing specific treatment protocols that can be individualized to a particular patient's condition after consideration of the entire clinical picture, this how-to guide focuses on a variety of challenging and controversial situations related to the treatment of patients with osteomyelitis of the foot and ankle. Covering everything from diagnostic and imaging techniques to medical and surgical management strategies, the image-heavy format of this text is of real value, providing a unique look into the treatment protocols discussed. The chapters are organized based on anatomic location of the wound and infection, allowing clinicians easy access to relevant treatment options.
Some of the topics included cover: * How to diagnose osteomyelitis early in the course of disease without unnecessary tests or harmful biopsy procedures * How to avoid excessive cost and side effects associated with antibiotics for various clinical conditions that are better treated surgically * How to minimize the risk of recurring wounds and infection yet preserve optimal foot function after surgery * How to incorporate advanced techniques like flap surgery, minimally invasive procedures, or local delivery of antibiotics, using case examples that highlight alternative surgical approaches Carefully selected based on expertise, background, and clinical focus, the contributors are both thought leaders and clinicians who deal with foot and ankle osteomyelitis on a daily basis. As such, Osteomyelitis of the Foot and Ankle will be an invaluable resource for podiatric foot and ankle surgeons, orthopedic surgeons, general surgeons, vascular surgeons and the entire care team with practical guidelines to treat both chronic wounds with low grade bone infection and acute limb threatening infections.
Part I: Diagnosis of Osteomyelitis.- Clinical and laboratory diagnosis of osteomyelitis.- Diagnostic imaging for osteomyelitis.- Bone biopsy techniques.- Microbiology of osteomyelitis.- Pathologic diagnosis of osteomyelitis.- Part II: Medical Treatment Guidelines for Osteomyelitis.- Part III: Surgical Treatment Principles for Diabetic Ulcer Related Osteomyelitis.- Surgical treatment principles for diabetic wounds complicated by osteomyelitis.- Antibiotic bead Protocol.- Prevention of heterotopic ossification in diabetic foot surgery.- Infected Charcot arthropathy.- Part IV: Surgical Procedures for Osteomyelitis Based on Diabetic Ulcer Location.- Tip of hallux ulcer with distal phalanx osteomyelitis (hallux distal Symes amputation).- Hallux plantar IPJ ulcer with osteomyelitis (IPJ arthroplasty with uni-lobed flap).- 1st MPJ ulcer with localized sesamoid osteomyelitis (O to Z flap with sesamoidectomy).- 1st and 5th MPJ plantar ulcer with osteomyelitis (1st and 5th ray amp flap).- Complete 5th ray amputation for recurrent osteomyelitis of the shaft or base.- Tip of lesser toe ulcer with osteomyelitis (office based distal Symes).- Central ray ulcer with metatarsal or phalanx osteomyelitis.- Midfoot ulcer with tarsal bone osteomyelitis (Chopart's considerations).- Decubitus heel ulcer with calcaneal osteomyelitis (partial calcanectomy with uni-lobed flap).- Lateral ankle decubitus ulcer with distal fibula osteomyelitis (partial fibulectomy with advancement flap).- Part V: Trauma-Related Osteomyelitis (puncture wound, GSW and open fracture).- Part VI: Hematogenous Bone and Joint Infection.- Hematogenous osteomyelitis.- Septic ankle joint.- Part VII: Post-operative Osteomyelitis.- Management of infected nonunion and infected hardware.- Osteomyelitis associated with external fixation.