International Journal of Physical Medicine & Rehabilitation
Open Access
ISSN: 2329-9096
ISSN: 2329-9096
University of Milan School of Medicine, Milan, Italy
Case Report
Deep-Seated Post-Traumatic Osteomyelitis Following Open Femur and Tibia Fractures: Case Report and Literature Review
Author(s): Craig H. Lichtblau*, Stephen Quinnan, Jaroslaw Michal Deszczynski, Gabrielle Meli, Marta Walachowska and Michalina Prowotorow
Osteomyelitis, a difficult to treat inflammation of bone and marrow, poses substantial challenges due to biofilm formation, relative avascularity, hardware involvement, and high recurrence risk. Staphylococcus aureus remains the most common causative pathogen, though a wide range of bacteria, mycobacteria and fungi may be implicated. Diagnosis integrates clinical features, laboratory markers, imaging, and bone biopsy, the latter remaining the gold standard for pathogen identification. Management strategies typically combine prolonged antimicrobial therapy with surgical debridement and, when necessary, reconstructive techniques or amputation. Adjunctive measures such as local antibiotic delivery and hyperbaric oxygen therapy may support outcomes in refractory cases. We present a complex case of post-traumatic osteomyelitis in a 65 year old man with high-energy open fractures of the fem.. View More»