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