Manejo del defecto óseo cortical de la diáfisis femoral debido a osteomielitis crónica con el uso de clavo endomedular impregnado de antibiótico e injerto óseo autólogo

Abstract

Reconstruction of bone defects resulting from extensive debridement of long bone osteomyelitis is challenging. The most common etiology of osteomyelitis results from an open fracture, less frequently from contiguity or hematogenous spread. Recurrence of the disease can occur, even after apparently successful treatment, impacting the patient's quality of life and being a financial burden for health systems.
Treatment seeks to resolve the infection and restore function. Reconstruction treatments involve various techniques such as vascularized bone grafting, intramedullary nails, use of techniques such as induced membrane (Masquelet) and the distraction osteogenesis method (Ilizarov). Intramedullary nails allow stable fixation, if they are impregnated with antibiotics, they facilitate infection control; the bone defect can be treated with bone substitutes or autologous bone graft.