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

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  • 1 Karr Foot and Leg Center, 5421 S Florida Ave, Lakeland, FL 33813. (E-mail: drkarrcoe@gmail.com)
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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.