| Enews you can use! |
|
HMPdiabetesWatch.com weekly Enews
Please signup today! |
|
|
|
|
|
|
|
|
Osteomyelitis
Osteomyelitis is an acute or chronic inflammatory process of the bone and its structures secondary to infection. Recently, some experts have questioned the utility of the probe to bone test in diagnosing osteomyelitis. See below for related articles on osteomyelitis and diabetes.
Current Concepts In Treating Osteomyelitis
Given the inherent challenges in managing osteomyelitis among patients with diabetes, this author offers a thorough review of the current literature on the subject. In addition to providing salient insights on the impact of imaging studies and the probe to bone test, the author also explores current treatment recommendations.
Featured Content from Podiatry Today
|
How To Detect Pediatric Osteomyelitis
Differentiating between acute hematogenous osteomyelitis and chronic recurrent multifocal osteomyelitis can help facilitate timely treatment. Here is a closer look at these conditions.
Featured Content from Podiatry Today
|
Is Osteomyelitis Primarily A Surgical Disease?
The basic philosophy in the surgical treatment of osteomyelitis is foot salvage. ? Treating osteomyelitis requires prudence and careful planning.
Featured Content from Podiatry Today
|
Diagnosing And Treating Osteomyelitis
The roundtable experts discuss the value of the probe to bone test, explore other testing measures and address the appropriateness of antibiotics for osteomyelitis.
Featured Content from Podiatry Today
|
Conservative Management of Diabetic Foot Ulcers Complicated by Osteomyelitis
Abstract: Osteomyelitis of the diabetic foot remains a difficult clinical infection, often resulting in disability and amputation. Standard management consists of thorough removal of all infected bone in conjunction with antimicrobial therapy. This may have an untoward effect on foot mechanics and may increase risk of future ulcer events. In order to evaluate the efficacy of a more conservative approach, we retrospectively assessed the outcomes patients managed by an interdisciplinary team of comprehensive inpatient and outpatient care. Over a three-year period, 160 patients were identified by a discharge database with osteomyelitis; of these, 58 had outpatient follow-up records for at least 12 months. The treatment regimen consisted of conservative debridement or surgery, four to six weeks of empiric intravenous antibiotics, and biomechanical offloading of pressure impediments to wound healing. Initial procedures were debridement (34 patients), excision of bone (13 patients), toe or ray amputation (8 patients), and major amputation (3 patients). The mean duration of antibiotic therapy was 40.3 days. At twelve-months follow up, twelve patients (20.7%) failed treatment, with nine patients having persistent ulcers, and three patients requiring amputation. The remaining 46 patients healed (79.3%). Three patients had ulcer recurrence and 21 patients had new ulcer episodes in the follow-up observation period. In conclusion, an approach to osteomyelitis in the diabetic foot that is based on conservative surgical intervention, long-term empiric antibiotics, and interdisciplinary wound care and offloading may be a safe and effective alternative to amputation in selected patients.
Featured Content from Wounds Research
|
Point-Counterpoint: Probe To Bone: Is It The Best Test For Osteomyelitis?
Yes. John S. Steinberg, DPM, notes that the test is minimally invasive and easy to perform with sensitivity, specificity and positive predictive values similar to those of MRI and bone scans. No. Citing recent studies, Warren S. Joseph, DPM, notes that while the probe to bone test can be useful for screening, the evidence does not support using the test alone to diagnose osteomyelitis.
Featured Content from Podiatry Today
|
Roundtable Insights On Imaging For Foot And Ankle Wounds
? She says NMLI results will reveal one of three things. However, Drs.
Featured Content from Podiatry Today
|
A Closer Look At Nuclear Medical Imaging
Differentiating between Charcot and osteomyelitis can be difficult but nuclear medicine leukocyte imaging (NMLI) can play a key diagnostic role. With this in mind, the authors explore the use of NMLI in this clinical scenario as well as other diagnostic challenges.
Featured Content from Podiatry Today
|
Managing Ulcers On The Charcot Foot
Complications of untreated Charcot arthropathy can be quite severe. With this in mind, the authors provide specific insights on key clinical signs, evaluate the efficacy of various diagnostic tests and offer helpful pearls on conservative and surgical treatment.
Featured Content from Podiatry Today
|
How Effective Is The PTB Test In Diagnosing Osteomyelitis?
? As Dr. Robbins points out, the VA system includes ? Babak Baravarian, DPM, uses MRI studies ?
Featured Content from Podiatry Today
|
|
|
|
