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This is an archive article published on January 13, 2015

Docs use new technique to extract infected bone from teen’s arm

The method will allow bone regrowth in two-three months and reduce chances of fracture.

gt hospital, bone infection treatment Deepak Sharma, 18, at GT Hospital. The hospital will record his condition in a month’s time.

The diagnosis of chronic osteomyelitis, a rare bone infection, in Deepak Sharma, a class X student in Kalyan, may have gone unnoticed had it not been the unique surgery he underwent two weeks ago at state-run Gokuldas Tejpal (GT) Hospital.

An orthopaedic team in GT hospital comprising four doctors — head of orthopaedic department Dr Swapnil Keny, Dr Dhiraj Sonwane, Dr Akash Saraoge and Dr Abhishek Shinde — decided to adopt a new surgical technique to extract the infected bone by creating a door-like incision in it. Osteomyelitis is generally treated with antibiotics or with surgery that requires few centimetres wide window to extract infected bone tissue which leaves the bone prone to future fractures. The new technique adopted by doctors will allow bone regrowth in two-three months and reduce chances of fracture. In a month, the hospital will record Sharma’s medical condition and present the case for publishing in medical journals.

Deepak (18), who was suffering from the chronic form of the ailment for the past five months, had developed a swelling in the left arm after his infected dead bone started secreting pus with the new bone growing around it. The incidence of osteomyelitis is two in every 10,000 people and can be treated with antibiotics unless it turns chronic.

“His arm movements became painful. We first consulted private doctors in Kalyan, but when they could not improve his condition for months, we were referred here,” said Vinod Sharma, Deepak’s father.

Deepak, who is now awaiting discharge to give his pre-board examination, said, “I had fever, too. With antibiotics, the swelling first reduced but came back later.”

On January 2, Sharma underwent the surgery. His left arm has been plastered to allow bone regrowth.

Keny, the orthopaedic department head, said, “We have never come across a door-like surgical intervention for treating this inflammation in medical literature. Usually when doctors make a few centimetres wide window in bone, the bone does not regrow and it becomes fragile. We decided to adopt a new method since the boy is young and already very thin. The door-like incision will get covered with new bone soon.”

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According to the GT hospital doctors, the infected bone had to be removed in over three separate extractions and was six centimetres long.

Saraoge, who was also part of the team, said, “This disease can be induced by infected blood stream or if immunity is low. In his case, we do not know the cause. If not treated, in rare cases the infection can also spread to the whole body or damage the entire bone.”

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