Hydrosurgery: alternative treatment technique for management of chronic osteomyelitis and septic arthritis of hallucial joint of a juvenile foot

Int J Low Extrem Wounds. 2010 Dec;9(4):155-9. doi: 10.1177/1534734610389597.

Abstract

The surgical principles of management of chronic osteomyelitis of metatarsal bone of the foot have remained unchanged, but the debridement tools and level of precision have improved. This study reports the use of the Versajet system to achieve accurate, effective wound debridement during an elective orthopedic surgery in the difficult and confined geometric and anatomical area of the metatarsophalangeal joint of the foot. The patient experienced minimum blood loss and tissue resection during the procedure and healed well without complications.

MeSH terms

  • Adolescent
  • Anti-Bacterial Agents / therapeutic use
  • Arthritis, Infectious / diagnostic imaging
  • Arthritis, Infectious / surgery*
  • Arthritis, Infectious / therapy
  • Chronic Disease
  • Debridement / instrumentation
  • Debridement / methods
  • Female
  • Floxacillin / therapeutic use
  • Humans
  • Hydrotherapy / instrumentation
  • Hydrotherapy / methods*
  • Metatarsophalangeal Joint / diagnostic imaging
  • Metatarsophalangeal Joint / pathology
  • Metatarsophalangeal Joint / surgery*
  • Osteomyelitis / diagnostic imaging
  • Osteomyelitis / surgery*
  • Osteomyelitis / therapy
  • Radiography

Substances

  • Anti-Bacterial Agents
  • Floxacillin