57-290

Papel del biovidrio en el tratamiento de la osteomielitis focal crónica

Role of bioactive glass in the treatment of chronic focal osteomielitis

ORTEGA YAGO A, ARGÜELLES LINARES F, BAEZA OLIETE J. HOSPITAL UNIVERSITARIO Y POLITÉCNICO LA FE VALENCIA
Recepción:
12/07/2022
Aceptación:
12/07/2022
Publicación:
12/07/2022


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Resumen (ES)

Bioactive glass emerges as an alternative to the classic two-stage treatment of chronic focal osteomyelitis. It allows the
eradication of the infection in a single surgical act without the need to add a local antibiotic thanks to its mechanism of
action, facilitating the filling of the residual bone defect after debridement. A retrospective review of 29 patients treated
with bioactive glass was carried out in order to analyze the results and secondary complications. We observed a
significant improvement in the analytical parameters, with complete remission of the infection in 80% of the patients. 31%
showed wound serum leakage with spontaneous resolution in 55% of patients in the first 7 days after surgery. Therefore,
bioactive glass is effective against multiple microorganisms, with good results in recurrence rate and few complications,
even though long-term studies are required to confirm these results

Palabras clave (ES):

focal
crónica
Vídrio
bioactive
Osteomielitis

Resumen (EN)

Bioactive glass emerges as an alternative to the classic two-stage treatment of chronic focal osteomyelitis. It allows the
eradication of the infection in a single surgical act without the need to add a local antibiotic thanks to its mechanism of
action, facilitating the filling of the residual bone defect after debridement. A retrospective review of 29 patients treated
with bioactive glass was carried out in order to analyze the results and secondary complications. We observed a
significant improvement in the analytical parameters, with complete remission of the infection in 80% of the patients. 31%
showed wound serum leakage with spontaneous resolution in 55% of patients in the first 7 days after surgery. Therefore,
bioactive glass is effective against multiple microorganisms, with good results in recurrence rate and few complications,
even though long-term studies are required to confirm these results

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