Comments on the Article “Results of Simple Conservative Treatment of Midfoot Charcot Arthropathy”: In Reply

Kim, You Keun; Lee, Ho Seong; Seo, Sang Gyo; Park, Seung-Hwan; Boedijono, Dimas

doi:10.4055/cios20025re

Cited by 1 publication

(1 citation statement)

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“…Foot osteomyelitis can be caused by various etiologies, and diabetic foot infection is one of the most frequently encountered in clinical scenarios. About 25% of patients with diabetic foot infection will see it spread from the skin to deeper subcutaneous tissues and/or bones, such as osteomyelitis [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

The Fate of Antibiotic Impregnated Cement Space in Treatment for Forefoot Osteomyelitis

Woo

Park

Seok

et al. 2022

JCM

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Forefoot osteomyelitis can be an extremely challenging problem in orthopedic surgery. Unlike conventional methods, such as amputations, antibiotic impregnated cement space (ACS) was recently introduced and perceived as a substitute for amputation. The purpose of this study was to compare clinical features between diabetic and non-diabetic groups and to evaluate the efficacy of ACS in the treatment of forefoot osteomyelitis, by identifying the clinical characteristics of ACS. We inserted ACS into the forefoot osteomyelitis patients and regularly checked up on them, then analyzed the clinical features of the patients and failure reasons, if ACS had to be removed. Average survival rate of ACS was 60% (21 out of 35 cases) and main failure reason was recurrence of infection. There was no significant clinical difference between diabetic and non-diabetic groups. We concluded that ACS could be a possible way of avoiding amputation if infection is under control. ACS seems to be an innovative method with promising results for foot osteomyelitis, but widely accepted indications need to be agreed upon.

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Section: Introductionmentioning

confidence: 99%