Kerstein, Morris D.
June 1975
Angiology;Jun1975, Vol. 26 Issue 6, p471
Academic Journal
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.


Related Articles

  • What's wrong with this patient? Barry, Mark; Venture, Marissa J. // RN;Jul2004, Vol. 67 Issue 7, p45 

    Presents the case of a patient with osteomyelitis, an inflammatory bone disease that is caused by bacteria, fungi, parasites or viruses. Risk factors; Tests to make a defensive diagnosis; Treatment with antibiotics; Nursing care; Importance of education for patient's recovery.

  • OSTEOMYELITIS IN LONG BONES. Lazzarini, Luca; Mader, Jon T.; Calhoun, Jason H. // Journal of Bone & Joint Surgery, American Volume;Oct2004, Vol. 86-A Issue 10, p2305 

    • Osteomyelitis in long bones remains challenging and expensive to treat, despite advances in antibiotics and new operative techniques. • Plain radiographs still provide the best screening for acute and chronic osteomyelitis. Other imaging techniques may be used to determine...

  • osteomyelitis.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1657 

    An encyclopedia entry for the term "osteomyelitis" is presented. This term refers to bone and marrow inflammation due to infection. Among the symptoms of the disease are severe throbbing pain over the affected part and fever. Treatments for osteomyelitis patients include intravenous antibiotics,...

  • Salmonella spinal osteomyelitis: A case report and review of literature. Acharya, Shankar; Bhatnagar, Pallav // Neurology India;Dec2004, Vol. 52 Issue 4, p499 

    A case of vertebral osteomyelitis is presented where initial presumptive diagnosis of tuberculous infection was made on clinico-radiological grounds but eventually turned out to be Salmonella infection upon exploration, biopsy and culture. Patient recovered completely following debridement and...

  • Antibiotic cement beads allow for salvage in diabetic osteomyelitis cases of the foot. DiMarcantonio, Tina // Orthopaedics Today/International Edition;Jan/Feb2008, Vol. 11 Issue 1, p14 

    The article discusses research being done on the use of a cement antibiotic spacer to treat diabetic osteomyelitis cases in the foot. It references a study by Eyal Melamed et al, presented at the 23rd Annual Summer Meeting of the American Orthopedic Foot and Ankle Society in July 2007 in...

  • RCOM RADIOLOGICAL CASE OF THE MONTH. Silbert, Walter; Karam, Maroun // Applied Radiology;Jul2004, Vol. 33 Issue 7, p45 

    Presents a case study of calcaneal bone osteomyelitis in a 51-year-old white man. Clinical background of the patient; Causes of the disease; Association between diabetes and decreased bone density.

  • Scedosporium prolificans Osteomyelitis in an Immunocompetent Child Treated with a Novel Agent, Hexadecylphospocholine (Miltefosine), in Combination with Terbinafine and Voriconazole: A Case Report. Kesson, Alison M.; Bellemore, Michael C.; O'Mara, Timothy J.; Ellis, David H.; Sorrell, Tania C. // Clinical Infectious Diseases;5/1/2009, Vol. 48 Issue 9, p1257 

    We describe an 8-year-old girl who sustained multiple compound fractures in an accident involving agricultural equipment. She developed Scedosporium prolificans osteomyelitis of the pelvis, septic arthritis of the hip, and myositis of adjacent muscles. The infection progressed, despite extensive...

  • Paget's disease. Hughes, Rod // GP: General Practitioner;3/14/2008, p31 

    The article offers information about the prevalence of Paget's disease in Great Britain. It is a condition of increased but uncontrolled bone turnover that leads to excessive, but weak bone formation. It rarely affects patients under 40 years of age but the overall prevalence in the country is...

  • Osteomyelitis: What You Should Know.  // American Family Physician;11/1/2011, Vol. 84 Issue 9, following p1033 

    The article presents facts about osteomyelitis. The condition is a bone infection caused by bacteria that spread through the blood from a wound or infection. Diabetes or poor circulation can increase the incidence of osteomyelitis. Symptoms in children include pain, swelling and fever but may be...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics