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

V S, Sriram; Kumar Chittoria, Ravi

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DOI 10.18231/j.jsas.2025.011
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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 ^*

IP Journal of Surgery and Allied Sciences. 7(2):52-54, 2025. | 10.18231/j.jsas.2025.011

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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

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IP Journal of Surgery and Allied Sciences

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 *

References

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Author Details:

Sriram V S

Ravi Kumar Chittoria ^*