Minimally invasive surgical approach to managing osteomyelitis in the lower extremity with a suction curettage

Abstract

Managing osteomyelitis in the adult population poses a complex challenge, especially when in the presence of comorbidities such as diabetes, peripheral arterial disease, soft tissue infection, and a history of ulcerations. Traditionally, the standard treatment for osteomyelitis has involved surgical excision, intravenous antibiotics and/or amputation. However, the need for recurrent surgical intervention remains frequent. While osseous resection can be achieved, complications include soft tissue infections and delayed wound healing which lengthens the postoperative recovery. In this research we explore an innovative three-pronged approach modifying the conventional treatment paradigm: minimally invasive surgical bone harvesting via a suction curettage technique, localized antibiotic administration and systemic antibiotics.