INTRODUCTION Treatment for osteomyelitis-complicating Mycobacterium ulcerans infection typically requires extensive surgery and even amputation, with no reported benefit from adjunctive antibiotics. CASE PRESENTATION We report a case of an 87-year-old woman with M. ulcerans osteomyelitis that resolved following limited surgical debridement and 6 months of therapy with rifampicin and ciproflox...

A wound is a disturbance of the skin's and soft tissue architecture's normal structure function. Prior to further treatment, wounds with devitalized tissue, contamination, or leftover suture material benefit from debridement. Wound base preparation allows for orderly healing regeneration injured may improve performance specialist care products sophisticated biologic replacements. There are now ...

OBJECTIVES The aim of this study was to evaluate the additional cost associated with performing after-hours operative debridement of open fractures within 6 hours of injury. DATA SOURCES The economic model is based on population estimates obtained from the National Trauma Database and the National Inpatient Sample on the number of open tibia fractures that occur annually in the United States ...

Wounds that fail to heal quickly are often encountered by community nursing staff. An important step in assisting these chronic or stalled wounds progress through healing is debridement to remove devitalised tissue, including slough and eschar, that can prevent the wound from healing. A unique wound treatment called HydroTherapy aims to provide an optimal healing environment. The first step of ...

Osteomyelitis with severe skin and soft tissue damage in critically ill patients cannot be treated solely by an orthopaedic specialist. In such patients, a team approach is required. We report the treatment of osteomyelitis in a HCV and HIV positive patient with several severe comorbidities (liver failure, peripheral vascular disease and peripheral neuropathy). The patient underwent mechanical ...

PURPOSE To determine the role of qualitative cultures for detecting infection in open tibial fractures. METHODS From January 2003 to December 2004, 95 men and 13 women (mean age, 34 years) with open tibial fractures in one or both limbs and without any other sites of infection were prospectively studied. Patients who had been treated with intravenous or oral antibiotics before presentation an...

BACKGROUND Periprosthetic Joint Infection Remains a Dreaded Complication After Hip and Knee Replacement Surgery. Treatment Options for Acute Postoperative and Acute Hematogenous Infections Include Arthroscopic or Open Debridement With Retention or Exchange of the Prostheses. This Review Article Aims to Summarize the Evidence for Management of Acute Postoperative And Acute Hematogenous Infection...

Samantha Haycocks is Specialist Podiatrist and Paul Chadwick is Principal Podiatrist, Salford Primary Care Trust, Podiatry and Foot Health, Hope Hospital, Salford There is minimal evidence to support the use of sharp debridement in clinical practice even though it is an accepted part of the management of diabetic foot ulceration (DFU). It is not common practice within podiatry departments to ga...