Osteomyelitis of the Foot and Ankle: Medical and Surgical Management

Part I: Diagnosis of Osteomyelitis.- Clinical and laboratory diagnosis of osteomyelitis.- Diagnostic imaging for osteomyelitis.- Bone biopsy techniques.- Microbiology of osteomyelitis.- Pathologic diagnosis of osteomyelitis.- Part II: Medical Treatment Guidelines for Osteomyelitis.- Part III: Surgical Treatment Principles for Diabetic Ulcer Related Osteomyelitis.- Surgical treatment principles for diabetic wounds complicated by osteomyelitis.- Antibiotic bead Protocol.- Prevention of heterotopic ossification in diabetic foot surgery.- Infected Charcot arthropathy.- Part IV: Surgical Procedures for Osteomyelitis Based on Diabetic Ulcer Location.- Tip of hallux ulcer with distal phalanx osteomyelitis (hallux distal Symes amputation).- Hallux plantar IPJ ulcer with osteomyelitis (IPJ arthroplasty with uni-lobed flap).- 1st MPJ ulcer with localized sesamoid osteomyelitis (O to Z flap with sesamoidectomy).- 1st and 5th MPJ plantar ulcer with osteomyelitis (1st and 5th ray amp flap).- Complete 5th ray amputation for recurrent osteomyelitis of the shaft or base.- Tip of lesser toe ulcer with osteomyelitis (office based distal Symes).- Central ray ulcer with metatarsal or phalanx osteomyelitis.- Midfoot ulcer with tarsal bone osteomyelitis (Chopart's considerations).- Decubitus heel ulcer with calcaneal osteomyelitis (partial calcanectomy with uni-lobed flap).- Lateral ankle decubitus ulcer with distal fibula osteomyelitis (partial fibulectomy with advancement flap).- Part V: Trauma-Related Osteomyelitis (puncture wound, GSW and open fracture).- Part VI: Hematogenous Bone and Joint Infection.- Hematogenous osteomyelitis.- Septic ankle joint.- Part VII: Post-operative Osteomyelitis.- Management of infected nonunion and infected hardware.- Osteomyelitis associated with external fixation.