Avoiding Leakage with Flowable Bone Void Filler
In order for the PAD-T to be successful, the infected bone needs to be intact to allow the bone void filler with antibiotics to penetrated the bones infected micro channels and micro abscesses. Meaning there are cortical defects or a partial bone resection that allows the bone void filler with antibiotics to leave the infected bone the bone void filler will not penetrate the micro channels and micro abscesses. This occurs when there is a partial bone resection such in metatarsal osteomyelitis treatment. In this scenario a bone void filler with antibiotics is used that is not flowable but can be easily packed into bone (Novogro Putty - Osteonovus).