Postoperative implantatassoziierte Osteitis am Schultergürtel

INTRODUCTIONOsteomyelitis of the clavicle is rare. Infection occurs from hematogenous spread or trauma. In adults infection is usually secondary due to an exogenous cause such as open fractures, surgery (iatrogenic) or spread from local tissue with infection.PRESENTATION OF CASEThe case is presented here of a 50-year old female with bilateral clavicular fractures, who was operated on with open reduction and internal fixation. At the 6-month follow-up, she had complaints of bilateral osteomyelitis which was successfully treated with resection of the infected segment of the bone, and antibiotic impregnated collagen.DISCUSSIONPredisposing factors include diabetes, intravenous drug abuse, tuberculosis or immune suppression. Management involves the removal of bone fixation, debridement of the bone and if there is a defect, coverage with a muscle flap is applied.CONCLUSIONIn cases of clavicular osteomyelitis where infection continues despite debridement and antibiotic therapy, excision of the sequestered clavicular section is a successful treatment approach and has been seen to improve quality of life without any functional loss.

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Postoperative implantatassoziierte Osteitis am Schultergürtel

Abstract: A cost-efficient, simple, and successful revision concept for patients with PPO of the shoulder region is described.

Cited by 2 publications

References 21 publications

High complication rate after septic orthopaedic implant removal of the lower leg

High complication rate after septic orthopaedic implant removal of the lower leg

Bilateral clavicle osteomyelitis: A case report

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