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Ann Thorac Surg ; 101(3): 1211-2, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26897216

ABSTRACT

Osteomyelitis of the sternoclavicular joint is a rare yet challenging problem. It is commonly treated by resection and a muscle flap. We report a case that was treated with single-stage resection of both the sternoclavicular joint and part of the sternum followed by implantation of calcium sulfate beads impregnated with antibiotics and primary closure without a muscle flap. A single-stage debridement with resection for osteomyelitis of the sternoclavicular joint and primary closure with calcium sulfate beads impregnated with antibiotics may be an option when dealing with this difficult clinical problem.


Subject(s)
Anti-Bacterial Agents/pharmacology , Arthritis, Infectious/surgery , Bone Cements/therapeutic use , Orthopedic Procedures/methods , Osteomyelitis/surgery , Sternoclavicular Joint/surgery , Arthritis, Infectious/microbiology , Debridement/methods , Follow-Up Studies , Humans , Instillation, Drug , Male , Middle Aged , Osteomyelitis/microbiology , Severity of Illness Index , Staphylococcal Infections/drug therapy , Sternoclavicular Joint/physiopathology , Treatment Outcome , Wound Closure Techniques , Wound Healing/physiology
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