Evidence map›Paper›PMID 22536302›Full record

ReviewDeutsches Arzteblatt international2012

Treatment algorithms for chronic osteomyelitis.

Gerhard Walter, Matthias Kemmerer, Clemens Kappler, Reinhard Hoffmann

Registry-linked trialAbstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05467644 (Treatment of Fracture Related Infection in Latin America. International Multicenter Study), which is not on this map. Cited by 102 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 3 pooled it
10.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05467644 unknown statusnot on this mapstarted 2021, after this paper: background citation

Treatment of Fracture Related Infection in Latin America. International Multicenter Study

TypeobservationalSponsorManoel Victorino HospitalRan2021 to 2023Enrolled300ConditionsFracture, Osteomyelitis, Soft Tissue Injuries, Bone LossArmsTreatment of Fracture Related Infection
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 3 syntheses or guidelines pooled it, 221 citations in OpenAlex.

  1. A systematic review of the single-stage treatment of chronic osteomyelitis.Journal of orthopaedic surgery and research · 2019
    Pooled it
  2. Antibiotics for treating chronic osteomyelitis in adults.The Cochrane database of systematic reviews · 2013
    Pooled it
  3. Recommendations for the treatment of osteomyelitis.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Guideline
  4. Evaluating chronic bone and soft tissue infections with [European journal of nuclear medicine and molecular imaging · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Coaxial electrospun fibers for control release of vancomycin and diclofenac in osteomyelitis management.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2025
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Clinical outcomes and complications of S53P4 bioactive glass in chronic osteomyelitis and septic non-unions: a retrospective single-center study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  19. Longitudinal intravital imaging of the bone marrow for analysis of the race for the surface in a murine osteomyelitis model.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2024
    Article
  20. [Diagnostic and therapeutic work-up of infected tibial nonunion].Unfallchirurgie (Heidelberg, Germany) · 2024
    Review

42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Gerhard WalterBerufsgenossenschaftliche Unfallklinik, Frankfurt. gerhard.walter@bgu-frankfurt.de
Matthias Kemmerer
Clemens Kappler
Reinhard Hoffmann
Berufsgenossenschaftliche Unfallklinik Frankfurt am Main · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteomyelitis was described many years ago but is still incompletely understood. Its exogenously acquired form is likely to become more common as the population ages. We discuss biofilm formation as a clinically relevant pathophysiological model and present current recommendations for the treatment of osteomyelitis.

methodsWe selectively searched the PubMed and Cochrane databases for articles on the treatment of chronic osteomyelitis with local and systemic antibiotics and with surgery. The biofilm hypothesis is discussed in the light of the current literature.

resultsThere is still no consensus on either the definition of osteomyelitis or the criteria for its diagnosis. Most of the published studies cannot be compared with one another, and there is a lack of scientific evidence to guide treatment. The therapeutic recommendations are, therefore, based on the findings of individual studies and on current textbooks. There are two approaches to treatment, with either curative or palliative intent; surgery is now the most important treatment modality in both. In addition to surgery, antibiotics must also be given, with the choice of agent determined by the sensitivity spectrum of the pathogen.

conclusionSurgery combined with anti-infective chemotherapy leads to long-lasting containment of infection in 70% to 90% of cases. Suitable drugs are not yet available for the eradication of biofilm-producing bacteria.

Indexed as

AlgorithmsAnti-Bacterial AgentsBacterial InfectionsChronic DiseaseDebridementHumansOsteomyelitisTreatment OutcomeAnti-Bacterial Agents

Identifiers

PMID22536302
PMCPMC3336146
OpenAlexW2132897561

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.