Surgical treatment of patients with total chronic hematogenous osteomyelitis of tubular bones

   Treatment of patients with total chronic hematogenous osteomyelitis still remains one of the important and difficult problems of purulent
surgery.

   Objective: To increase the effectiveness of surgical treatment of patients with chronic total osteomyelitis of long bones.

   Materials and methods of research. A retrospective analysis of outcomes after managing 38 patients with chronic total hematogenous osteomyelitis of long bones has been made. Patients were treated with original techniques of defect plastic surgery and physical antiseptic methods, such as CO₂-laser and low-frequency ultrasound.

   Research results. Of these, 24 patients with total osteodestructive changes underwent resection of the tibia and humerus, followed by their replacement with the fibula. In 14 patients with process location in the lower third of the tibia, grooved osteotomy was performed, followed by microsurgical plastic surgery of the defect with a fasciocutaneous flap on a vascular pedicle.

   Conclusion. The described surgical treatment of chronic osteomyelitis of long bones has high efficiency and minimal number of relapses at the early and late postoperative periods.

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