Journal article
A Case Report of Brodie’s Abscess of the Cuboid Treated by Anatomic Antibiotic-Cement Spacer
The Iowa orthopaedic journal, Vol.44(1), pp.17-22
01/01/2024
PMCID: PMC11195890
PMID: 38919358
Appears in Diamond Open Access
Abstract
Background:
A case of chronic osteomyelitis with Brodie’s abscess of the cuboid caused by a wooden foreign body penetrating the plantar foot. Total cuboidectomy was carried out with implantation of an anatomically molded antibiotic-impregnated cement spacer with culture-specific postoperative intravenous antibiotics. At six months of follow-up, the patient was completely asymptomatic without evidence of a recurrence of infection. Final radiographs also didn’t show spacer migration or surrounding bone erosions. The spacer obviated the need for any foot fusion which preserved foot biomechanics. The patient didn’t need to use any braces or insoles.
Conclusion:
Osteomyelitis should always be on the differential list of lytic lesions of the tarsal bones, especially if there is a history of prior foot trauma. In this case, cuboid excision and placement of an antibiotic-impregnated cement spacer provided sustained relief of symptoms without evidence of recurrence or complications for six months.
Details
- Title: Subtitle
- A Case Report of Brodie’s Abscess of the Cuboid Treated by Anatomic Antibiotic-Cement Spacer
- Creators
- Aly M. Fayed - University of IowaNacime Salomao Barbachan Mansur - University of Iowa, Orthopedics and RehabilitationJohn E. Femino - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The Iowa orthopaedic journal, Vol.44(1), pp.17-22
- Publisher
- Dept. of Orthopaedics, The University of Iowa; United States
- PMID
- 38919358
- PMCID
- PMC11195890
- ISSN
- 1541-5457
- eISSN
- 1555-1377
- Language
- English
- Date published
- 01/01/2024
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984649059802771
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