TITLE

VASCULAR INSUFFICIENCY AND OSTEOMYELITIS OF THE LOWER EXTREMITY

AUTHOR(S)
Kerstein, Morris D.
PUB. DATE
June 1975
SOURCE
Angiology;Jun1975, Vol. 26 Issue 6, p471
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Osteomyelitis secondary to peripheral vascular insufficiency was evaluated in forty-six males. A control group of sixteen did not receive antibiotics; the remainder received Cephalothin pre- and post-operatively. An equal number of patients in both groups had diabetes mellitus. Based on x-ray and clinical findings, all patients underwent local amputation. Staphylococcus aureus was the most common organism recovered. Thirty-seven percent of the non-antibiotic treated group required further revision to a higher level of amputation. The most frequent cause of amputation of the lower extremity is atherosclerosis, complicated by diabetes mellitus and infection.� Progression of the primary disease process often results in ulceration, sepsis, gangrene and osteomyelitis. The responsible surgeon must not �whittle� nor must he be too aggressive. Evaluating the rehabilitation potential of each individual, and being aware of the disability incurred by amuputation, �selective conservatism� is the key. This study demonstrates the selected salvage of the lower extremity by limited amputation and long term antibiotic therapy.
ACCESSION #
16352370

 

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