Infected humerus

Courtesy of Mr Alan Norrish, Consultant Orthopaedic Surgeon, Mr Dimitrios Giotikas, Specialist Orthopaedic Surgeon, Cambridge, UK
Products: STIMULAN®
       
Clinical particulars
44-year-old female presented with persistent and severe pain of the right arm. She had a history of infection following a nailing of the humerus 15 years ago. She has grown Staphylococcus aureus in the past and has had a number of flare-ups over the years. 7 years ago, she had a fenestration and a sequestrum removed, and MSSA was isolated.  
Treatment
She was treated with an open sequestrectomy through a bone window, made through a deltopectoral approach. 10cc of STIMULAN beads were administered to complement dead space management. A suction drain was placed for 24 hours. Systemic antibiotics were administered intravenously for 6 weeks.  
Outcome
At 6 month follow-up, the patient had returned to normal activities without symptoms or signs suggesting persistence or recurrence of infection. CRP = 1. On the x-ray, the bone window and cavity appeared filled with newly formed bone. 2 years post-operatively no recurrence of infection had occurred.   Note: See STIMULAN page for regulatory statements. MA0146R2
Evidence

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