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[An isolated post-traumatic intermediate cuneiform osteitis caused by pseudomonas aeruginosa]
1Oddziału Ortopedii Szpitala im. J. Sniadeckiego w Lipsku nad Wisła.
Chirurgia Narzadow Ruchu I Ortopedia Polska
|January 1, 1994
Abstract:
A case of 49 years old cattle farm employee who developed intermediate cuneiform osteitis after stabbing the dorsum of the foot with a tool. The bone became entirely necrotic and has been removed surgically. An instillation combined with local and systemic antibiotic therapy resulted in cure. After 3.5 years of follow-up neither static nor dynamic disabilities of the foot have been found.
Insights
A cattle farm worker developed severe bone infection in the foot after an injury. Successful surgical removal of necrotic bone and antibiotic treatment led to a full recovery without long-term disability.
Area of Science:
- Orthopedic surgery
- Infectious diseases
- Podiatric medicine
Background:
- Osteitis, a bone infection, can arise from penetrating injuries.
- Cuneiform osteitis specifically affects the midfoot bones, potentially leading to significant morbidity.
Observation:
- A 49-year-old cattle farm employee sustained a penetrating injury to the dorsum of the foot with a tool.
- This injury resulted in intermediate cuneiform osteitis, with complete bone necrosis observed.
Findings:
- Surgical debridement and removal of the necrotic cuneiform bone were performed.
- Combined local and systemic antibiotic therapy, along with intraosseous antibiotic instillation, achieved a cure.
- A 3.5-year follow-up revealed no residual static or dynamic foot disabilities.
Implications:
- This case highlights the efficacy of aggressive surgical management and multimodal antibiotic therapy for severe cuneiform osteitis.
- Prompt and thorough treatment can prevent long-term functional impairment following such bone infections.
- The successful outcome underscores the importance of timely intervention in managing deep foot infections in agricultural workers.