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Orthopaedic Proceedings
Vol. 99-B, Issue SUPP_22 | Pages 49 - 49
1 Dec 2017
Becker A Valour F Perpoint T Boussel L Ruffion A Laurent F Senneville E Chidiac C Ferry T
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Aim

Pubic osteomyelitis (PO) is one of less frequent Bone and Joint Infections forms (BJI). Its management is still poorly codified as far as nosological framework is still unclear in medical literature. We aim to describe PO epidemiology and to look for factors associated with management failure.

Method

We performed a retrospective cohort study, carried out in two Reference Centres, including patients with PO in 2010–2016. Treatment failure was defined by: (i) persistence of clinical signs despite treatment; (ii) clinical relapse with same microorganisms; (iii) infection recurrence with one or more different microorganism(s);

(iv) new signs of infection (abscess, sinus tract) in same area, without recourse to get microbiological documentation. Factors associated with management failure were determined by univariate Cox analysis (hazard ratio [HR] and 95% confidence interval calculation). Kaplan-Meier curve were compared between groups by log-rank test.


Orthopaedic Proceedings
Vol. 99-B, Issue SUPP_22 | Pages 75 - 75
1 Dec 2017
Chauvelot P Ferry T Triffault-Fillit C Braun E Perpoint T Laurent F Michel-Henry F Lustig S Chidiac C Valour F
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Aim

Corynebacterium is a rare etiologic agent of BJI. We aimed to describe this rare clinical condition and to assess treatment failure determinants.

Method

All adult patients with proven Corynebacterium BJI (i.e. consistent clinical/radiological signs, AND ≥2 reliable positive bacteriological samples, AND treated as such) were included in a retrospective cohort study. After cohort description, determinants of treatment failure (i.e, infection persistence, relapse, requirement of additional surgical procedure, and BJI-related death) were determined using stepwise logistic regression and Kaplan Meier curve analysis.


Orthopaedic Proceedings
Vol. 99-B, Issue SUPP_22 | Pages 24 - 24
1 Dec 2017
Ferry T Johan A Boucher F Chateau J Hristo S Daoud F Braun E Triffault-Fillit C Perpoint T Laurent F Alain-Ali M Chidiac C Valour F
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Aim

A two-stage surgical strategy (debridement-negative pressure therapy (NPT) and flap coverage) with prolonged antimicrobial therapy is usually proposed in pressure ulcer-related pelvic osteomyelitis but has not been widely evaluated.

Method

Adult patients with pressure ulcer-related pelvic osteomyelitis treated by a two-stage surgical strategy were included in a retrospective cohort study. Determinants of superinfection (i.e., additional microbiological findings at reconstruction) and treatment failure were assessed using binary logistic regression and Kaplan-Meier curve analysis.