Evidence map›Paper›PMID 37013227›Full record

ArticleJournal of orthopaedic case reports2022

Emphysematous Osteomyelitis of Tibia - A Rare Case Treated with Antibiotic-loaded Absorbable Calcium Sulfate Beads.

Ajayakumar Thankappan, Nizaj Nasimudeen, Arun Thomas, Jyothi Karikkanthra, Jyotish R Nair

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of orthopaedic case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 41% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

5 authors at 1 institution in 1 country.

Ajayakumar ThankappanDepartment of Orthopaedics, Apollo Adlux Hospital, Kochi, Kerala, India.
Nizaj NasimudeenDepartment of Orthopaedics, Apollo Adlux Hospital, Kochi, Kerala, India.
Arun ThomasDeparment of Radiodiagnosis, Apollo Adlux Hospital, Kochi, Kerala, India.
Jyothi KarikkanthraDepartment of Pathology, Apollo Adlux Hospital, Kochi, Kerala, India, India.
Jyotish R NairDeparment of Internal Medicine, Apollo Adlux Hospital, Kochi, Kerala, India.
Apollo Hospitals · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Emphysematous osteomyelitis (EO) is an uncommon and deadly pathology characterized by occurrence of intraosseus air within the bone. However, only few of them have been reported. The use of local antibiotic delivery system has proven to be very effective in bone and joint infections as they offer decreased hospital stay and early clearance of infection. To the best of our knowledge, there are no reports on local antibiotic delivery using absorbable synthetic calcium sulfate beads in EO. Case Report: A 59-year-old male with Type II diabetes mellitus, chronic kidney, and liver disease came with pain and swelling over left leg. After blood investigations and radiological evaluation, he was diagnosed to have EO of tibia with unknown source of infection. We successfully treated him with immediate surgical decompression and application of antibiotic impregnated absorbable calcium sulfate beads locally for improved local antibiotic delivery. Following this, he was further treated with culture sensitive intravenous antibiotics and his symptoms resolved. Conclusion: Early diagnosis and aggressive surgical intervention along with local antimicrobial therapy using calcium sulfate beads can offer better outcome in EO. The local antibiotic delivery system can decrease the use of prolonged intravenous antibiotic therapy and long hospital stay.

Indexed as

absorbable beadscalcium sulphate beadsEmphysematous osteomyelitisintraosseus gaslocal antibioticsstimulan

Identifiers

PMID37013227
PMCPMC10066672
OpenAlexW4320081540

What OpenQuestion holds

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LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

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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.