Phalangeal Reaming and Irrigation for Combined Proximal and Distal Phalangeal Osteomyelitis of the Thumb
Acute and chronic osteomyelitis of the phalanges may lead to digital amputation because of the difficulty of adequately debriding infected tissue, while concurrently maintaining the delicate function of the digit. In our patient with osteomyelitis of the proximal and distal thumb phalanges as well a...
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| Language: | English |
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Elsevier
2025-05-01
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| Series: | Journal of Hand Surgery Global Online |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514125000155 |
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| author | Austin Franklin, MD Angel Valencia, MD Dang-Huy Do, MD Ann Golden, MD Daniel Koehler, MD |
| author_facet | Austin Franklin, MD Angel Valencia, MD Dang-Huy Do, MD Ann Golden, MD Daniel Koehler, MD |
| author_sort | Austin Franklin, MD |
| collection | DOAJ |
| description | Acute and chronic osteomyelitis of the phalanges may lead to digital amputation because of the difficulty of adequately debriding infected tissue, while concurrently maintaining the delicate function of the digit. In our patient with osteomyelitis of the proximal and distal thumb phalanges as well as the adjoining interphalangeal joint, we used a reamer-irrigator-aspiration system, commonly used in nonunion and long bone osteomyelitis, to effectively ream the intramedullary canals of the phalanges. This allowed for adequate debridement and irrigation of our patient’s deep space infection using a minimally invasive approach, while avoiding more extensive debridement or amputation. After completion of 6 weeks of intravenous antibiotics, this patient successfully cleared the osteomyelitis while maintaining the function of her thumb. |
| format | Article |
| id | doaj-art-03ea640c2cb243d09b64595cf374d9da |
| institution | Kabale University |
| issn | 2589-5141 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj-art-03ea640c2cb243d09b64595cf374d9da2025-08-20T03:47:41ZengElsevierJournal of Hand Surgery Global Online2589-51412025-05-017310070510.1016/j.jhsg.2025.01.014Phalangeal Reaming and Irrigation for Combined Proximal and Distal Phalangeal Osteomyelitis of the ThumbAustin Franklin, MD0Angel Valencia, MD1Dang-Huy Do, MD2Ann Golden, MD3Daniel Koehler, MD4Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TXDepartment of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TXDepartment of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TXDepartment of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TXDepartment of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX; Corresponding author: Daniel Koehler, MD, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390-8883.Acute and chronic osteomyelitis of the phalanges may lead to digital amputation because of the difficulty of adequately debriding infected tissue, while concurrently maintaining the delicate function of the digit. In our patient with osteomyelitis of the proximal and distal thumb phalanges as well as the adjoining interphalangeal joint, we used a reamer-irrigator-aspiration system, commonly used in nonunion and long bone osteomyelitis, to effectively ream the intramedullary canals of the phalanges. This allowed for adequate debridement and irrigation of our patient’s deep space infection using a minimally invasive approach, while avoiding more extensive debridement or amputation. After completion of 6 weeks of intravenous antibiotics, this patient successfully cleared the osteomyelitis while maintaining the function of her thumb.http://www.sciencedirect.com/science/article/pii/S2589514125000155IrrigationPhalangeal osteomyelitisReamer |
| spellingShingle | Austin Franklin, MD Angel Valencia, MD Dang-Huy Do, MD Ann Golden, MD Daniel Koehler, MD Phalangeal Reaming and Irrigation for Combined Proximal and Distal Phalangeal Osteomyelitis of the Thumb Journal of Hand Surgery Global Online Irrigation Phalangeal osteomyelitis Reamer |
| title | Phalangeal Reaming and Irrigation for Combined Proximal and Distal Phalangeal Osteomyelitis of the Thumb |
| title_full | Phalangeal Reaming and Irrigation for Combined Proximal and Distal Phalangeal Osteomyelitis of the Thumb |
| title_fullStr | Phalangeal Reaming and Irrigation for Combined Proximal and Distal Phalangeal Osteomyelitis of the Thumb |
| title_full_unstemmed | Phalangeal Reaming and Irrigation for Combined Proximal and Distal Phalangeal Osteomyelitis of the Thumb |
| title_short | Phalangeal Reaming and Irrigation for Combined Proximal and Distal Phalangeal Osteomyelitis of the Thumb |
| title_sort | phalangeal reaming and irrigation for combined proximal and distal phalangeal osteomyelitis of the thumb |
| topic | Irrigation Phalangeal osteomyelitis Reamer |
| url | http://www.sciencedirect.com/science/article/pii/S2589514125000155 |
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