The patient had undergone surgery at a local hospital before he came to our consultation room and was implanted with bone cement during the operation, which had an important impact on our diagnosis. No final conclusions could be drawn from the radiographs. The patient could not provide detailed wound or wound contamination information because the wound occurred 3 years prior. For the two previous operations at our hospital, we performed surgery only on existing wounds, with a restricted field of vision, and the patient failed to recover in the shortest time. We used the following osteomyelitis treatment principles: (1) Administer sensitive antibiotics; (2) Clear the lesion completely, remove dead bones and foreign matter, provide adequate drainage, and fill the cavity; (3) Improve blood circulation and promote healing [10, 11]. We summarized our lessons learned as follows: (1) Ask for a detailed medical history without missing any clues,the imaging data should be reviewed carefully before operation.; patients who do not remember something clearly are treated according to their presentation. For example, if a patient cannot remember whether the tree branch was incomplete, we should consider that the tree branch may have broken, leaving a small part in the wound. (2) Regardless of whether the patient has been treated previously, when coming to our clinic for the first time, we should not be influenced by others and simply continue previous treatment; we need to make our own diagnosis and develop a systematic treatment plan. (3) An auxiliary examination is necessary. We can also perform two to three types of examinations for different tissues, such as X-rays, CT, and MRI, when necessary. It is better to do more work on the examination than to subject the patient to repeated surgeries. (4) During the operation, the scope of the exploration should be completely exposed in the surgeon’s field of vision, and we should not take this issue for granted. (5) Sitting with the patient and discussing the condition and the surgical treatment options is very meaningful.
After having these treatment experiences, we have successively removed foreign matter from patients’ wounds, such as broken glass from the sole of the foot and wire and other materials from the wounds of patients who had limb trauma. We are also sharing relevant scientific knowledge with other practitioners through lectures.