SU1503775A1 - Method of treatment of chronic osteomyelitis with a bone defect - Google Patents

Abstract

The invention relates to medicine, namely to surgery in the treatment of chronic osteomyelitis with a bone defect. In order to shorten the time of bonding, the bone is opened, the modified tissues are removed, the bone defect is filled with bone regenerate grown by placing demineralized bone in the muscle.

Description

The invention relates to medicine, namely to traumatology and orthopedics, and can be used for the treatment of chronic osteomyelitis.

The purpose of the invention is to reduce the time of bone splicing.

The method is carried out as follows.

An incision is made within the unchanged soft tissues and exposed at the level of the pathological focus and a muscle that is slightly distal near the muscle. The latter is bluntly exfoliated, a demineralized bone graft, sized in them, embedded in a 2-3 cm bone defect, is inserted into it. The graft is partially fixed to the muscle. Thereafter, the muscle is sutured so that the graft is partially or completely immersed in it. The wound is sewn up tightly. A second incision is made through the fistulous course with its excision and the osteomyelitis focus is exposed. Sequesters, pathological granulations, pus are removed and the bony walls are refreshed in the premature healthy tissue. The cavity is washed with a solution of antiseptics. Antibiotics, selected according to the patient's antibiogram, fall asleep into it. The processed contrapurum is cleared through the formed contour. P; i-na heals with secondary tension. 4epei 2-3 months after the first operation) prom.

Radiography and detection of the shadow of the newly formed skin is the second stage of the operation. One access involves the bone defect zone and the muscle, which was sewn with a transit.1ant; O6p; i3 (i vial in its place to this in () the bone autoregenerate is excreted along with Miiinia. The new formations are transferred to the transplant on the musculoskeletal / cca) and the osteomyelitic cavity is filled with it. to the bone bed. The wound is filled with dry antibiotics and. (they nag .. They put a plaster n 1c zk pas 1 1.5 months.

Example. Patient L., 25. Report, p. (.1 clinic with a diagnosis: False ii (Kiopathic bone), osteomyelitis, 1st osteomyelitis. and fistula with obi, and rim of the rim. Painfully operated 11. In .- cases of healthy tissue produced.) On the front-outer surface right; G () e

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new muscle. Stupidly, a tunnel is formed in it, Ei, which is laid down with demineralized bone trans-graft and is attached to mouse ligature sutures. The wound is layered in yiHHTa iagmu.cho. Fistulae G1rokran1en solution of green blue. A section of the anterior-inner tract of the right tibia with excision of the fistulous passage reveals a pathological focus. The detected sequesters and patol granules were removed. Konny kostny.kh fragments refreshed. The wound is washed with antiseptic solution, powdered with dry antibiotics and drained through contracture. Partial decay of the wound. Puffiness is fixed by a deep Gens longt. The wound healed by secondary tension. After 2 months, the second ethane operation was performed. The osteal cavity and the occasionally large nybonea of the myelum are exposed. Together with the muscle, a bone regenerate was isolated. The rubes in the zone. X of the bone defect are partially excised. On the end.x wallpapers.x fragments of the patient () bone with (|) are called () 1, in which peieHepaT is implanted on the .xopoino blood supply

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Muscle leg €. The wound is sutured. A circular Hins strap is applied. After 3 months on radiographs, bone integrity was restored. 1.5 months after the gypsum was removed, the patient began work.

In an assumed manner, 7 patients were operated on. All had a great outcome. The average duration of treatment was 7 months, while in the control group of patients operated on according to a known method, recovery occurred in 28 of 37 operated patients. At the same time, the average duration of treatment was 7.5 months.

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Claims (1)

Invention Formula (lyusobob treatment of chronic osteomyelitis with a bone defect by opening the lesion, removing altered tissues, bone grafting of the defect and fixing fragments, characterized in that, in order to shorten the duration of the bruise; nshm variable 1 it in a defect on the power-1ne leg.