Bone drilling and antibiotic-loaded bone cement in managing pressure ulcer complicated by chronic ischial osteomyelitis: A case report

• Author Details:   
• Sriram V S
• Ravi Kumar Chittoria ^*

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Chronic ischial osteomyelitis is a debilitating complication of longstanding pressure ulcers, especially in paraplegic patients. Antibiotic-loaded bone cement (ALBC) offers sustained local antibiotic delivery, aiding in infection control. We present a 35-year-old paraplegic male with bilateral ischial ulcers and osteomyelitis unresponsive to systemic antibiotics. He underwent bone drilling and ALBC placement. Follow-up imaging at 3 weeks showed signs of resolution, and flap reconstruction was planned. This case underscores the role of ALBC in managing osteomyelitis in pressure ulcers.

Keywords: Ischial osteomyelitis, Pressure ulcer, Antibiotic-loaded bone cement, Bone drilling, Chronic wound management