The surgical principles of management of chronic osteomyelitis of metatarsal bone of the foot have remained unchanged, but the debridement tools and level of precision have improved. This study reports the use of the Versajet system to achieve accurate, effective wound debridement during an elective orthopedic surgery in the difficult and confined geometric and anatomical area of the metatarsophalangeal joint of the foot. The patient experienced minimum blood loss and tissue resection during the procedure and healed well without complications.
Granick MS, Tenenhaus M., Knox KR, Ulm JPComparison of wound irrigation and tangential hydrodissection in bacterial clearance of contaminated wounds: results of a randomized, controlled clinical study. Ostomy Wound Manage. 2007;53(4): 64-66, 68-70, 72.
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Klein MB, Hunter S., Heimbach DM, et al. The Versajet water dissector: a new tool for tangential excision . J Burn Care Rehabil. 2005;26:483-487.
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Mosti G., Iabichella ML, Picerni P., Magliaro A., Mattaliano V.The debridement of hard to heal leg ulcers by means of a new device based on Fluidjet technology. Int Wound J. 2005;2:307-314.
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Versajet Hydrosurgery System [product information brochure]. Hull, UK: Smith & Nephew.
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Gravante G., Delogu D., Esposito G., Montone A.Versajet hydrosurgery versus classic escharectomy for burn debridment: a prospective randomized trial. J Burn Care Res. 2007;28: 720-724.
Rappl T., Regauer S., Wiedner M., Wittgruber G., Schintler M., Scharnagl E.Clinical experiences using the Versajet system in burns: indications and applications [in German]. Handchir Mikrochir Plast Chir. 2007;39:308-313.
