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Reconstructive treatment of sclerosing osteomyelitis of the entire femur of 30 years’ duration with avoidance of segmental resection

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Abstract

We describe the successful operative treatment of a patient with chronic sclerosing osteomyelitis of the femur in which en bloc resection was avoided. Therapy consisted of combined endoscopic, computed tomography and bone scan-guided fenestration and intramedullary reaming, with removal of all sclerotic zones and normalization of the cortical thickness. An adequate supply of oxygen to the area was ensured by improved vascularisation and the application of hydrogen peroxide. At the medium term follow-up no recurrence was seen, and hip and knee function was normal.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Westfälische Wilhelms-Universität Münster, Albert-Schweitzer-Strasse 33, D-48149 Münster, Germany Tel.: +49-2 51-8 348 020, Fax: +49-2 51-8 347 989, , , , , , DE

    D. Bettin & B. Rolauffs

  2. Institute of Medical Microbiology, Westfälische Wilhelms-Universität, Münster, Germany, , , , , , DE

    C. von Eiff

  3. Institute of Nuclear Medicine, Westfälische Wilhelms-Universität Münster, Germany, , , , , , DE

    J. Sciuk

Authors
  1. D. Bettin
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  2. B. Rolauffs
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  3. C. von Eiff
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  4. J. Sciuk
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Received: 20 November 1997

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Bettin, D., Rolauffs, B., von Eiff, C. et al. Reconstructive treatment of sclerosing osteomyelitis of the entire femur of 30 years’ duration with avoidance of segmental resection. Arch Orth Traum Surg 119, 228–231 (1999). https://doi.org/10.1007/s004020050398

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  • DOI: https://doi.org/10.1007/s004020050398

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