An Overview of the Percutaneous Antibiotic Delivery Technique for Osteomyelitis Treatment and a Case Study of Calcaneal Osteomyelitis

J Am Podiatr Med Assoc. 2017 Nov;107(6):511-515. doi: 10.7547/13-047.

Abstract

Background: A percutaneous antibiotic delivery technique (PAD-T) used for the adjunctive management of osteomyelitis is presented.

Methods: This surgical technique incorporates a calcium sulfate and hydroxyapatite (calcium phosphate) bone void filler acting as a carrier vehicle with either an antibiotic or an antifungal medicine, delivering this combination directly into the area of osteomyelitis.

Results: The benefit of the PAD-T is reviewed with a case presentation of a successfully treated calcaneal osteomyelitis.

Conclusions: No previously reported PAD-T using a simple bone cortex incision in the adjunctive treatment of osteomyelitis has been reported. The PAD-T safely and effectively uses a calcium sulfate and hydroxyapatite bone void filler carrier vehicle to deliver either an antibiotic or an antifungal medicine directly into the area of osteomyelitis.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / administration & dosage*
  • Calcaneus*
  • Female
  • Humans
  • Methicillin-Resistant Staphylococcus aureus
  • Middle Aged
  • Osteomyelitis / drug therapy*
  • Staphylococcal Infections / drug therapy*
  • Tobramycin / administration & dosage*
  • Vancomycin / administration & dosage*

Substances

  • Anti-Bacterial Agents
  • Vancomycin
  • Tobramycin