A rare case report of chronic osteomyelitis of ulna with global involvement in an infant: A management perspective using Modified Masquelet technique with “Atmanirbhar” Gentamycin beads

Journal of Clinical Orthopaedics | Vol 5 | Issue 2 |  July-Dec 2020 | page:45-48 | Rajesh Lalchandani, Gaurav Garg, Rakesh Parmar, Rajesh kumar Yadav

Author: Rajesh Lalchandani [1], Gaurav Garg [1], Rakesh Parmar [1], Rajesh kumar Yadav [1]

[1] Department of Orthopedics, P.D. Hinduja National Hospital & MRC, Veer Savarkar Marg, Mahim West, Mumbai – 400016

Address of Correspondence
Dr. Vivek Shetty,
Department of Orthopedics, P.D. Hinduja National Hospital & MRC, Veer Savarkar Marg, Mahim West, Mumbai – 400016


Chronic osteomyelitis treatment has always been a serious challenge for an orthopaedic surgeon to treat and it needs dedication, perseverance and multiple operations for its complete cure. We hereby report a case of a one year female who presented to us with chronic osteomyelitis ulna with global involvement. The case was successful managed by debridement, excision of sequestered ulna and insertion of locally made gentamycin beads mounted on kirschner wire as a cement spacer in the first stage. After 4 weeks, removal of gentamycin beads was done followed by visualization of membrane formation and fibular grafting mounted on a k wire for stabilization. During follow-up, we observed good uptake of the graft at both the ends and regeneration of the fibula at donor site with no signs of recurrence of osteomyelitis. We are reporting this case because of its unique global involvement of ulna and use of modified Masquelet technique using gentamycin beads(rather than a blob of cement) on a wire as cement spacer and also as a tool for local delivery of antibiotics.
Keywords: Chronic Osteomyelitis, Modified Masquelet technique, gentamycin beads, diaphyseal osteomyelitis


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How to Cite this article: Shekhar S, Shetty V, Wagh Y. Challenges and Difficulties faced by Orthopedic Surgeons during the COVID-19 Pandemic: A Review of Modified Surgical Protocols. Journal of Clinical Orthopaedics July-Dec 2020;5(2):45-48.

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