The treatment of osteomyelitis of the calcaneus with the use of automyelo-fibrinous-platelet clot

Abstract

Osteomyelitis of the calcaneus is a complex disease that is difficult to treat, as it is based on a lesion of the spongy bone, that is poorly capable of regeneration, especially in the purulent-inflammatory process. There are also a number of factors that aggravate the course of the disease: impaired blood supply, in particular obliterating atherosclerosis of the lower extremities, decreased body reactivity and the presence of diabetes mellitus. Currently, the treatment of osteomyelitis is complex. The key role is played by radical surgical treatment aimed at eliminating the purulent focus with subsequent replacement of the defect with a patient’s own tissues or artificial materials. This clinical observation presents a comprehensive approach to the treatment of calcaneal osteomyelitis, which includes sanitation of the osteomyelitis focus, grafting of a bone tissue defect with an automyelo-fibrinous-platelet clot and wound vacuum therapy using the first domestic device Impulse KM-1. As a result of the provided treatment, a positive clinical result has been achieved.

Keywords

• post-traumatic osteomyelitis
• calcaneus
• purulent wound
• bone grafting
• automyelo-fibrinous-platelet clot