Simplified Method for Treating Osteomyelitis of the Sternoclavicular Joint
Joseph D Whitlark1, Joseph A Kirollos2, Spencer M Jackson3
1Division of Thoracic Surgery, Lenoir Memorial Hospital, Kinston, North Carolina.
The Annals of Thoracic Surgery
|February 22, 2016
Summary
Osteomyelitis of the sternoclavicular joint is challenging. A single-stage surgery using antibiotic-impregnated beads and primary closure, avoiding muscle flaps, offers a potential treatment option.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
Background:
- Osteomyelitis of the sternoclavicular joint presents a significant clinical challenge.
- Traditional treatment often involves resection and muscle flap reconstruction.
Observation:
- This case report details a novel single-stage approach for sternoclavicular joint osteomyelitis.
- The procedure included resection of the sternoclavicular joint and adjacent sternum.
Findings:
- The surgical site was treated with calcium sulfate beads impregnated with antibiotics.
- Primary closure was achieved without the need for a muscle flap.
Implications:
- This single-stage debridement, resection, and antibiotic bead implantation technique may be a viable alternative.
- It offers a potentially less invasive option for managing complex sternoclavicular joint osteomyelitis.
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