Articles | Volume 6, issue 7
https://doi.org/10.5194/jbji-6-273-2021
https://doi.org/10.5194/jbji-6-273-2021
Original full-length article
 | 
16 Jul 2021
Original full-length article |  | 16 Jul 2021

Orthopedic management of pubic symphysis osteomyelitis: a case series

Henry T. Shu, Ahmed H. Elhessy, Janet D. Conway, Arthur L. Burnett, and Babar Shafiq

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Cited articles

Abosala, A. and Ali, M.: The Use of Calcium Sulphate beads in Periprosthetic Joint Infection, a systematic review, J. Bone Joint Infect., 5, 43–49, https://doi.org/10.7150/jbji.41743, 2020. 
Albers, L., Korving, J., van Elzakker, E., and Roshani, H.: Osteomyelitis of the Pubic Symphysis After Transrectal Biopsies of the Prostate, Urology, 121, 29–32, https://doi.org/10.1016/j.urology.2018.06.009, 2018. 
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Angst, F., Aeschlimann, A., and Stucki, G.: Smallest detectable and minimal clinically important differences of rehabilitation intervention with their implications for required sample sizes using WOMAC and SF-36 quality of life measurement instruments in patients with osteoarthritis of the lower extremities, Arthrit. Care Res., 45, 384–391, https://doi.org/10.1002/1529-0131(200108)45:4<384::AID-ART352>3.0.CO;2-0, 2001. 
Becker, A., Triffault-Fillit, C., Valour, F., Boussel, L., Ruffion, A., Laurent, F., Senneville, E., Chidiac, C., and Ferry, T.: Pubic osteomyelitis: Epidemiology and factors associated with treatment failure, Med. Maladies Infect., 50, 684–688, https://doi.org/10.1016/j.medmal.2019.10.012, 2020. 
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Short summary
This case series highlights our treatment strategy for pubic symphysis osteomyelitis of aggressive local debridement with local antibiotic therapy. Additionally, debridement of the pubic symphysis without subsequent internal fixation did not result in pelvic instability, as determined by pelvic radiographs and ability to fully weight bear postoperatively.