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Orthopaedic Proceedings
Vol. 99-B, Issue SUPP_22 | Pages 24 - 24
1 Dec 2017
PRESSURE ULCER-RELATED PELVIC OSTEOMYELITIS: EVALUATION OF A TWO-STAGE SURGICAL STRATEGY (DEBRIDEMENT, NEGATIVE PRESSURE THERAPY AND FLAP COVERAGE) WITH PROLONGED ANTIMICROBIAL THERAPY
Ferry T Johan A Boucher F Chateau J Hristo S Daoud F Braun E Triffault-Fillit C Perpoint T Laurent F Alain-Ali M Chidiac C Valour F
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Aim

A two-stage surgical strategy (debridement-negative pressure therapy (NPT) and flap coverage) with prolonged antimicrobial therapy is usually proposed in pressure ulcer-related pelvic osteomyelitis but has not been widely evaluated.

Method

Adult patients with pressure ulcer-related pelvic osteomyelitis treated by a two-stage surgical strategy were included in a retrospective cohort study. Determinants of superinfection (i.e., additional microbiological findings at reconstruction) and treatment failure were assessed using binary logistic regression and Kaplan-Meier curve analysis.

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