Clinical experience with OSTEOMET

Given the complexity of the injury, gradual shortening of the lower limb was combined with the use of local tissues and staged plastic-tissue advancement. This approach improved the conditions for prolonged wound healing and restoration of soft-tissue coverage.

At the next stage, an aluminium-alloy OSTEOMET frame was installed with rigid foot fixation adapted to the existing neuropathy. The construct enabled three osteotomy zones for simultaneous regenerate formation and gradual restoration of soft-tissue balance.

Further treatment involves gradual compression at the defect site and controlled restoration of bone structure. Active patient participation is essential: the patient understands the staged protocol and takes part in monitoring the recovery process.

We thank the clinical team for their coordinated work and implementation of a technology that expands the treatment options for complex limb defects.

Chronic osteomyelitis is among the most demanding challenges in reconstructive and septic bone surgery. Treatment requires infection control as well as restoration of lost bone tissue and limb function.

Following severe trauma and several previous treatment stages, the patient had undergone locked intramedullary nailing after temporary external fixation. A chronic infectious process subsequently developed.

At the next stage, the intramedullary nail was removed, the osteomyelitic focus was radically debrided, and a combined local antibacterial system was installed: an intramedullary antibiotic cement spacer and a reinforced TM OSTEOMET antibacterial cement spacer in the bone-defect zone.

After infection control was achieved, the spacers were removed and a modified TM OSTEOMET external fixation system was installed for multiplanar stabilisation using aluminium-alloy sectors and 8 mm titanium pins. An osteotomy was performed for bone transport and reconstruction of the missing bone.

Compression at the bone-defect site and distraction at the osteotomy site are currently being performed simultaneously. This enables gradual restoration of femoral length and continuity while creating conditions for new bone formation.

Treatment and rehabilitation are ongoing. Positive progress and infection control are already evident. Combining radical debridement, local antibiotic therapy and transosseous osteosynthesis can preserve the limb even in exceptionally complex clinical situations.