Therapeutic decision in chronic osteomyelitis: sinus track culture versus intraoperative bone culture.

Abstract:

BACKGROUND:The ideal specimen for identification of the etiologic agents in chronic osteomyelitis for best antibiotic decision remains controversial. OBJECTIVE:To assess the concordance of sinus track culture (STC) with that of intraoperative bone culture (IBC) to guide antibiotic therapy in chronic osteomyelitis. METHODS:A prospective comparative study of chronic osteomyelitis patients seen in our centre from January 2004 to December 2006. Specimens from the depths of sinus track and intraoperative bone biopsy were obtained from each patient and subjected to microbiologic examination and their concordance determined. RESULTS:In STCs Staphylococcus aureus has the highest sensitivity (60.5%), specificity (45.0%) and positive predictive value (72.2%). The overall sensitivity (50.9%), specificity (20%) and predictive value (47.5%) of sinus track specimens were very low. Antibiotic decision based on IBC showed 106 patients (82.8%) had resolution of chronic osteomyelitis at mean of 2 years follow-up. CONCLUSION:IBC appears to predict more reliably the complete etiologic organisms than STCs in chronic osteomyelitis.

authors

Akinyoola AL,Adegbehingbe OO,Aboderin AO

doi

10.1007/s00402-008-0621-y

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

449-53

issue

4

eissn

0936-8051

issn

1434-3916

journal_volume

129

pub_type

杂志文章
  • Initial promising results of the dynamic locking blade plate, a new implant for the fixation of intracapsular hip fractures: results of a pilot study.

    abstract:INTRODUCTION:The osteosynthesis of intracapsular hip fractures results in a 19-48% failure rate. Only when the anatomical reduction is secured by stable fixation, revascularisation of the femoral head can take place and the fracture can heal by primary osteonal reconstruction. The common implants lack rotational and/or...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-010-1195-z

    authors: Roerdink WH,Aalsma AM,Nijenbanning G,van Walsum AD

    更新日期:2011-04-01 00:00:00

  • Pre-operative templating in THA. Part I: a classification of architectural hip deformities.

    abstract:INTRODUCTION:While numerous classifications of hip arthritis have been proposed, none considered the magnitude and direction of femoral head translation relative to the native acetabulum. A more precise classification of architectural hip deformities is necessary to improve preoperative templating and anticipate surgic...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-019-03298-1

    authors: Kase M,O'Loughlin PF,Aït-Si-Selmi T,Pagenstert G,Langlois J,Bothorel H,Bonnin MP

    更新日期:2020-01-01 00:00:00

  • What is the tolerated width of periacetabular osteophytes to avoid impingement in cementless THA?: a three-dimensional simulation study.

    abstract:BACKGROUNDS:Impingement is a risk factor for instability and prosthetic failure following total hip arthroplasty (THA). If the periacetabular osteophytes are not removed at surgery, impingement could occur between the osteophytes and the femoral stem following THA. However, excessive removal of the osteophytes could le...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-2982-1

    authors: Kim JT,Lee J,Lee YK,Ha YC,Won YY,Lee K,Khanduja V,Koo KH

    更新日期:2018-08-01 00:00:00

  • Clinical and user-friendly classification of traumatic digital nerve injuries of hand.

    abstract:INTRODUCTION:Surgical findings of traumatic neurapraxia and neurotmesis in digital nerve injuries of hand have significantly different prognosis and surgeons managing such injuries must be able to provide the expected incidence of these injuries along with decision on surgical exploration. There is a paucity of data in...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-007-0299-6

    authors: Kumar S,Hassouna H,Penematsa S

    更新日期:2007-09-01 00:00:00

  • Galvanic reactions between cerclage wires and Kuntscher nails.

    abstract::Four patients are presented who had closed femoral shaft fractures and developed either extensive callus or osteomyelitis following open Kuntscher nailing and cerclage wiring of a butterfly fragment. Both the Kuntscher nail and cerclage wire are made of stainless steel but with different percentages of constituent ele...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00454737

    authors: Taylor MT,Wilson PE

    更新日期:1994-01-01 00:00:00

  • Static progressive versus dynamic splinting for posttraumatic elbow stiffness: a systematic review of 232 patients.

    abstract:INTRODUCTION:The elbow is prone to stiffness after trauma. To regain functional elbow motion, several conservative and surgical treatment options are available. Nonoperative treatment includes physical therapy, intra-articular injections with corticosteroids, and a static progressive or dynamic splinting program. The o...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00402-015-2199-5

    authors: Veltman ES,Doornberg JN,Eygendaal D,van den Bekerom MP

    更新日期:2015-05-01 00:00:00

  • Biomechanical consequences of a posterior root tear of the lateral meniscus: stabilizing effect of the meniscofemoral ligament.

    abstract:PURPOSE:The purpose of this study was to evaluate the effects of different types of lateral meniscus root tears in terms of tibiofemoral contact stress. METHODS:Ten porcine knees each underwent five different testing conditions with the menisci intact, a simulated lateral posterior root tear with and without cutting t...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-013-1716-7

    authors: Forkel P,Herbort M,Schulze M,Rosenbaum D,Kirstein L,Raschke M,Petersen W

    更新日期:2013-05-01 00:00:00

  • Bone morphogenetic protein 7 and autologous bone graft in revision surgery for non-union after lumbar interbody fusion.

    abstract:BACKGROUND:Potential adverse and unknown long-term effects as well as additional costs limit the use of BMPs (Bone morphogenetic proteins) in primary fusion procedures. However, the proven osteoinductive properties render BMPs attractive for the attempt to reach fusion of symptomatic non-unions. The aim of this study i...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-016-2485-x

    authors: Werle S,AbuNahleh K,Boehm H

    更新日期:2016-08-01 00:00:00

  • Hybrid external fixation in treatment of proximal tibial fractures: a good outcome in AO/ASIF type-C fractures.

    abstract:INTRODUCTION:The treatment of proximal tibial fractures is often challenging, and internal fixation is occasionally associated with problems in wound healing due to frequently co-existing soft tissue injuries. External fixation of these fractures have yielded satisfactory results, but some studies have reported problem...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-009-0931-8

    authors: Savolainen VT,Pajarinen J,Hirvensalo E,Lindahl J

    更新日期:2010-07-01 00:00:00

  • Radio-luno-triquetral bone-ligament transfer as an additional stabilizer in scapholunate-instability.

    abstract:INTRODUCTION:Reconstruction of the scapho-lunate (SL) ligament is still challenging. Many different techniques, such as capsulodesis, tendon graft and bone-ligament-bone graft have been described to stabilize reducible SL dissociation. If primary ligament repair alone is not possible, an additional stabilizer is needed...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-020-03690-2

    authors: Haug LCP,Adler T,Bignion D,Voegelin E

    更新日期:2020-11-29 00:00:00

  • Single-bone intramedullary fixation of unstable both-bone diaphyseal forearm fractures in children leads to increased re-displacement: a multicentre randomised controlled trial.

    abstract:INTRODUCTION:Both-bone diaphyseal forearm fractures in children can be stabilised without cast by a flexible intramedullary nail in both the radius and the ulna. Adequate results with single-bone fixation combined with a complementary cast are also reported. However, because those results are based on a selection of ch...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00402-013-1763-0

    authors: Colaris J,Reijman M,Allema JH,Kraan G,van Winterswijk P,de Vries M,van de Ven C,Verhaar J

    更新日期:2013-08-01 00:00:00

  • Posterior resection and fusion of a lumbosacral hemivertebra in a case of dipygus.

    abstract::Dipygus or pygomelia is an incomplete form of twinning due to the incomplete division of the embryonic disc. This extremely rare condition consists in the presence of an accessory limb that generally inserts into the buttock or perineum. Associated anomalies such as duplication of the genitourinary or the intestinal t...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-014-1987-7

    authors: Cavanilles-Walker JM,Kröber MW

    更新日期:2014-06-01 00:00:00

  • Malignant Natural-Killer cell neoplasm presenting as a mucous cyst on the distal interphalangeal joint of the finger.

    abstract::This case report describes a very rare and highly malignant type of lymphoma, which presents as a mucous cyst on the finger. The cyst was excised and the specimen pathohistologically analyzed. The analysis revealed the presence of a Natural-Killer cell neoplasm. This case illustrates and stresses the importance of a p...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-008-0794-4

    authors: Unglaub F,Loos B,Wolf MB,Dragu A,Amann K,Horch RE

    更新日期:2009-12-01 00:00:00

  • Fragility non-hip fracture patients are at risk.

    abstract:INTRODUCTION:Fragility fractures are a growing worldwide health care problem. Hip fractures have been clearly associated with poor outcomes. Fragility fractures of other bones are common reasons for hospital admission and short-term disability, but specific long-term outcome studies of non-hip fragility fractures are r...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-014-2115-4

    authors: Gosch M,Druml T,Nicholas JA,Hoffmann-Weltin Y,Roth T,Zegg M,Blauth M,Kammerlander C

    更新日期:2015-01-01 00:00:00

  • The relationship of the acromion to the distal clavicle in normal and symptomatic degenerated acromioclavicular joints.

    abstract:INTRODUCTION:Although degenerative osteoarthritis of the acromioclavicular joint is a common finding on technical investigations, not every patient experiences pain or function loss. The difference between symptomatic and asymptomatic patients is currently not elucidated. Therefore, we want to investigate the acromiocl...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00402-019-03258-9

    authors: Bulkmans K,Peeters I,De Wilde L,Van Tongel A

    更新日期:2020-04-01 00:00:00

  • Arthroscopic treatment of femoroacetabular impingement shows persistent clinical improvement in the mid-term.

    abstract:INTRODUCTION:The concept of femoroacetabular impingement (FAI) and the indication for surgical intervention have been established in the last decade. Despite promising short-term results and emerging arthroscopic techniques, it remains unclear whether patients benefit from surgical correction in the mid- to long-term a...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-016-2427-7

    authors: Hufeland M,Krüger D,Haas NP,Perka C,Schröder JH

    更新日期:2016-05-01 00:00:00

  • Is instillation drainage for the treatment of infected joints, bones and soft tissues still up to date?

    abstract::For the treatment of infected joints, bones and soft tissues, either an instillation drainage therapy or the use of gentamicin-polymethyl-methacrylate (PMMA) chains (Septopal) in addition to surgical revision and systemically given antibiotics is currently in clinical use. We investigated 102 patients treated in our c...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF00434543

    authors: Schmidt J,Hackenbroch MH,Kumm D,Taravati V

    更新日期:1996-01-01 00:00:00

  • Free functional gracilis muscle transfer for reconstruction of massive ectopic calcification following a lower extremity fracture: a case report and overview of the literature.

    abstract::We present a patient with massive posttraumatic ectopic calcification in the lower extremity. The patient complained of an increasing tender soft tissue mass with signs of acute inflammation and foot dorsiflexion weakness following a tibial fracture for 34 years. A large radiopaque mass was resected and reconstructed ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-006-0228-0

    authors: Schmitt JW,Bode B,Dumont CE

    更新日期:2007-01-01 00:00:00

  • Operative management of epidural tumors of the spine.

    abstract::Seventy-two patients with neoplastic involvement of the vertebral column were operated on between 1986 and 1991. In the course of 79 operations anterior decompression and stabilization alone were performed in 3 cases, while ventrodorsal spondylodesis was carried out in 10 individuals. The remainder of the patients und...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00572907

    authors: Rompe JD,Hopf C,Heine J

    更新日期:1994-01-01 00:00:00

  • Joint-preserving surgical treatment of spontaneous osteonecrosis of the knee.

    abstract:BACKGROUND:To date, reports of surgical treatment of spontaneous osteonecrosis of the knee (SPONK) refractory to non-operative treatment have primarily focused on knee arthroplasty. This report presents an overview of the characteristics of SPONK and reports our experience with joint-preserving surgical treatment of th...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-009-0872-2

    authors: Duany NG,Zywiel MG,McGrath MS,Siddiqui JA,Jones LC,Bonutti PM,Mont MA

    更新日期:2010-01-01 00:00:00

  • Successful repair of a bladder herniation after old traumatic pubic symphysis diastasis using bone graft and hernia mesh.

    abstract::Bladder herniation associated with pubic symphysis diastasis is a very rare condition. We report a case with bladder herniation after traumatic pubic symphysis disruption. The patient was treated with open reduction of the bladder and definitive internal fixation of the pubis. We used a bone allograft for closure of t...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-007-0290-2

    authors: Seckiner I,Keser S,Bayar A,Yesilli C,Mungan A

    更新日期:2007-10-01 00:00:00

  • Return to play following ACL reconstruction: survey among experienced arthroscopic surgeons (AGA instructors).

    abstract:PURPOSE:There is a lack of consensus regarding appropriate criteria attesting patient's unrestricted sports activities after ACL reconstruction. The purpose of this study was to perform a survey among experienced arthroscopic surgeons regarding their return to play guidelines in these patients. METHODS:A six-item ques...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-013-1746-1

    authors: Petersen W,Zantop T

    更新日期:2013-07-01 00:00:00

  • Postoperative functional outcome and stability in recurrent traumatic anteroinferior glenohumeral instability: comparison of two different surgical capsular reconstruction techniques.

    abstract:INTRODUCTION:Patients (n=62) with recurrent traumatic anterior or anteroinferior glenohumeral instability were prospectively evaluated with reference to the surgical reconstruction technique performed. MATERIALS AND METHODS:Neer's T-plasty procedure was performed in group I (n=31) while a modified, anatomically orient...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00402-003-0601-1

    authors: Jaeger A,Braune C,Welsch F,Sarikaya Y,Graichen H

    更新日期:2004-05-01 00:00:00

  • Fixation of capitellar fractures with the Herbert screw.

    abstract::Five fractures of the capitellum were fixed with a Herbert screw. Three patients had a type 1 fracture and two patients had a type 2 fracture. In four patients the fragment was fixed by insertion of the screw from the lateral epicondyle towards the joint line, with good clinical and radiological results. In one patien...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00395799

    authors: Liberman N,Katz T,Howard CB,Nyska M

    更新日期:1991-01-01 00:00:00

  • Femoral nerve lesion in total hip replacement: an experimental study.

    abstract::A total of 20 hip joints of 10 non-fixed corpses were examined within 48 h of death to measure the pressure below the inguinal ligament simulating the surgical conditions during total hip arthroplasty. The purpose of this study was to assess the influence of various leg positions and insertion techniques of retractors...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s004020050216

    authors: Heller KD,Prescher A,Birnbaum K,Forst R

    更新日期:1998-01-01 00:00:00

  • Ligament reconstruction with single bone tunnel technique for chronic symptomatic subtle injury of the Lisfranc joint in athletes.

    abstract:INTRODUCTION:Only few procedures for Lisfranc ligaments reconstruction to treat subtle injury of the Lisfranc joint have been reported. We have developed a novel technique for Lisfranc ligaments reconstruction, which was applied to treat chronic symptomatic subtle injuries that had failed to respond to initial treatmen...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-015-2250-6

    authors: Miyamoto W,Takao M,Innami K,Miki S,Matsushita T

    更新日期:2015-08-01 00:00:00

  • Sequencing-based detection of drug-resistant Mycobacterium tuberculosis in patients with spinal tuberculosis.

    abstract:INTRODUCTION:Traditionally, bacterial cultures serve as the gold standard for the detection of drug resistance and can provide evidence for directing the treatment of tuberculosis. However, this method has a low positive rate and is time consuming, which significantly limits its wide application. Thus, in the present s...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-012-1506-7

    authors: Si J,Wang Z,Wang Z,Li H

    更新日期:2012-07-01 00:00:00

  • Spontaneous radioscapholunate fusion after septic arthritis of the wrist: a case report.

    abstract::Bacterial septic arthritis rarely occurs in the upper extremities. Yet, early diagnosis and treatment is important, as a delay in diagnosis results in pain, impaired hand function, and degenerative joint disease. Radioscapholunate (RSL) arthrodesis is a well-established procedure for treating inflammatory arthritis an...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-017-2659-1

    authors: Quadlbauer S,Pezzei C,Jurkowitsch J,Keuchel T,Hausner T,Leixnering M

    更新日期:2017-04-01 00:00:00

  • A novel remaining tendon preserving repair technique leads to improved outcomes in special rotator cuff tear patterns.

    abstract:INTRODUCTION:The purpose of this study was to identify the tear pattern that could be anatomically repaired by preserving the remaining tendon on footprint and evaluate clinical outcomes of patients who underwent remaining tendon preserving cuff repair. MATERIALS AND METHODS:Of 523 patients with full-thickness rotator...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-2956-3

    authors: Jeon YS,Kim RG,Shin SJ

    更新日期:2018-08-01 00:00:00

  • No physiologic age-related increase of circulating somatomedin-C during early stage of Perthes' disease: a longitudinal study in 21 boys.

    abstract::Perthes' disease was originally viewed as a local ischaemic necrosis of the femoral head. Several authors, however, have presented data suggesting that children with this disease also suffer from a general disorder of skeletal maturation. Hormonal changes in the hypothalamus-pituitary-growth plate axis have been discu...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00388093

    authors: Neidel J,Zander D,Hackenbroch MH

    更新日期:1992-01-01 00:00:00