The ability of new antibiotics impregnated hydroxyapatite beads in treatment of chronic osteomyelitis will be evaluated together with the bone fusion properties. Antibiotics beads Osteomyelitis Hydroxyapatite
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Patients who are diagnosed as chronic osteomyelitis by having bone infection for more than 6 weeks, having dead bone and bone reparative reaction. -Cierny & Mader anatomical staging class A and B.
Exclusion criteria
Exclusion criteria: -Patients who are allergy to vancomycin, gentamicin and fosfomycin antibiotics -Patient who need ongoing antibiotics treatment i.e melioidosis. -Patients who have renal insufficiency or renal failure (eGFR < 30 ml/min/m2 by Cockcroft-Gault equation (CG)) -HIV patients and/or CD4 < 350 cell/ mm3 -Patients who are pregnant and lactation -DM patients or having HbA1C > 8% at 3 months prior to enrollment. -Patients -Patients who have multiple active injuries or head injuries -Immunocompromided patient or having history of using immunosuppressive drug or corticosteroid equivalent to Prednisolone > 10 mg per day for longer than 2 wks -Patients having history of using folk medicine containing steroids -Patients who have malignancy at site of infection -Patients who use or having history of using narcotic drugs or using syringe with others. -Patient who were infected with antibiotic-resistant gram-negative bacteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate of antibiotics impregnated hydroxyapatite beads 12 wks Clinical evaluation, Blood chemistry, X-ray,Reinfection rate of antibiotics impregnated hydroxyapatite beads 24 wks Clinical evaluation, Blood chemistry, X-ray | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life Immediate Postop, 6 wks, 12 wks, 24 wks Questionaire,Time to discharge 2 wks, 4 wks, 6 wks Chart review | — |
Countries
Thailand
Contacts
National Metal and Materials Technology Center