Chronic Osteomyelitis of Proximal Tibia Due To A Retained Glove Piece: A Case Report
Volume 8 | Issue 1 | Jan – Feb 2020 | Page: 30-33 | Sujayendra D M, Mahesh S Kulkarni, Aditya Mukadam, Sharath K Rao
Authors: Sujayendra D M , Mahesh S Kulkarni , Aditya Mukadam , Sharath K Rao 
 Department of Orthopaedics, Kasturba Medical College, MAHE, Manipal, India.
Address of Correspondence
Dr. Sujayendra D M,
Kasturba Medical College, MAHE, Manipal, India.
Introduction: The classic presentation of chronic osteomyelitis is characterized clinically by the presence of a draining sinus, and radiologically by sequestrum. Despite adequate treatment when the sinus fails to heal, one has to evaluate for its persistence. The presence of sequestrum and foreign body is one of the common causes for failure of the treatment. Except for one report, there are no described cases in the literature, where the surgeon’s glove piece has been left inside a bone and caused osteomyelitis. We are reporting a case of chronic osteomyelitis of tibia due to a retained glove piece following surgical management of proximal tibia fracture.
Case Report: A 36-year year-old male, with nil pre-morbid conditions, presented with complaints of discharging sinus from the anterior aspect of the proximal part of the left leg since for 2.5 years. He had undergone implant removal for sinus discharge following healed proximal tibial fracture which was managed with open reduction and internal fixation. Radiological evaluation revealed a cavity with sequestrum. During planned debridement and sequestrectomy, one surgical glove piece was as well retrieved from the cavity. Pseudomonas aeruginosa was isolated and he received appropriate antibiotic therapy. The patient after the procedure improved and during the last past one 1 year of follow-up, there is no recurrence of discharge and sinus has healed.
Conclusion: Chronic osteomyelitis is a debilitating condition. All precautions are to be taken to prevent osteomyelitis while performing orthopaedic surgeries, more so while dealing with closed fractures. A high index of suspicion of foreign body retention is suggested while evaluating these cases,.While while performing procedures that involve instrumentation with sharp objects, one must regularly inspect and if the need be, replace the gloves regularly.
Keywords: Chronic osteomyelitis, Foreign body, Glove perforation, Fracture complication, Non-healing sinus, Infection.
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|How to Cite this article: Sujayendra D M, Kulkarni M , Aditya Mukadam A, Rao S | Chronic Osteomyelitis of Proximal Tibia Due To A Retained Glove Piece: A Case Report | Journal Of Karnataka Orthopaedic Association | Jan-Feb 2020; 8(1): 30-33.|
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