Successfully treated osteomyelitis with 20 years of evolution, covering the whole humerus (case report)

Infections affecting the humerus are a serious therapeutic challenge, especially when they are spread along the entire length of the humerus and have a long evolution. Their origin can be both hematogenous and exogenous. Unsuccessfully treated osteomyelitis of the humerus can be the cause of severe...

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Main Authors: Yavor Grigorov, Viktor Vasilev
Format: Article
Language:English
Published: Bulgarian Orthopaedics and Trauma Association 2024-03-01
Series:Journal of the Bulgarian Orthopaedics and Trauma Association
Subjects:
Online Access:https://jbota.org/index.php/jbota/article/view/96
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author Yavor Grigorov
Viktor Vasilev
author_facet Yavor Grigorov
Viktor Vasilev
author_sort Yavor Grigorov
collection DOAJ
description Infections affecting the humerus are a serious therapeutic challenge, especially when they are spread along the entire length of the humerus and have a long evolution. Their origin can be both hematogenous and exogenous. Unsuccessfully treated osteomyelitis of the humerus can be the cause of severe disability, intoxication and even lead to amputation. The aim: To pay attention to the difficulties associated with the treatment of a rare localization of osteomyelitis affecting the entire humerus. Material and methods: One patient is presented, a 63-year-old man who underwent multiple operations for osteomyelitis of the humerus about 20 years ago. Results: The early postoperative period went smoothly. The surgical wound healed primarily, the bone infection was completely repaired, and the right upper extremity is in good functional condition, with no evidence of circulatory or neurological problems. Conclusion: The presented patient is a clear example that the key to the successful treatment of osteomyelitis is the correct choice of the main method, namely the method providing full revascularization of the bone or the replacement of the affected bone segment with autoosteoplastic material.  
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spelling doaj.art-b43ff9ceff30487caf2189ebd2ec29d12024-04-14T23:18:27ZengBulgarian Orthopaedics and Trauma AssociationJournal of the Bulgarian Orthopaedics and Trauma Association0473-43782815-37152024-03-016101Successfully treated osteomyelitis with 20 years of evolution, covering the whole humerus (case report)Yavor Grigorov0Viktor Vasilev1Sofia University "St. Kliment Ohridski",UniversityHospital “Lozenetz”–Sofia, BulgariaSofia University "St. Kliment Ohridski",UniversityHospital “Lozenetz”–Sofia, BulgariaInfections affecting the humerus are a serious therapeutic challenge, especially when they are spread along the entire length of the humerus and have a long evolution. Their origin can be both hematogenous and exogenous. Unsuccessfully treated osteomyelitis of the humerus can be the cause of severe disability, intoxication and even lead to amputation. The aim: To pay attention to the difficulties associated with the treatment of a rare localization of osteomyelitis affecting the entire humerus. Material and methods: One patient is presented, a 63-year-old man who underwent multiple operations for osteomyelitis of the humerus about 20 years ago. Results: The early postoperative period went smoothly. The surgical wound healed primarily, the bone infection was completely repaired, and the right upper extremity is in good functional condition, with no evidence of circulatory or neurological problems. Conclusion: The presented patient is a clear example that the key to the successful treatment of osteomyelitis is the correct choice of the main method, namely the method providing full revascularization of the bone or the replacement of the affected bone segment with autoosteoplastic material.   https://jbota.org/index.php/jbota/article/view/96humeruslongitudinal fenestrationosteomyelitis
spellingShingle Yavor Grigorov
Viktor Vasilev
Successfully treated osteomyelitis with 20 years of evolution, covering the whole humerus (case report)
Journal of the Bulgarian Orthopaedics and Trauma Association
humerus
longitudinal fenestration
osteomyelitis
title Successfully treated osteomyelitis with 20 years of evolution, covering the whole humerus (case report)
title_full Successfully treated osteomyelitis with 20 years of evolution, covering the whole humerus (case report)
title_fullStr Successfully treated osteomyelitis with 20 years of evolution, covering the whole humerus (case report)
title_full_unstemmed Successfully treated osteomyelitis with 20 years of evolution, covering the whole humerus (case report)
title_short Successfully treated osteomyelitis with 20 years of evolution, covering the whole humerus (case report)
title_sort successfully treated osteomyelitis with 20 years of evolution covering the whole humerus case report
topic humerus
longitudinal fenestration
osteomyelitis
url https://jbota.org/index.php/jbota/article/view/96
work_keys_str_mv AT yavorgrigorov successfullytreatedosteomyelitiswith20yearsofevolutioncoveringthewholehumeruscasereport
AT viktorvasilev successfullytreatedosteomyelitiswith20yearsofevolutioncoveringthewholehumeruscasereport