+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Bone grafting in the treatment of hematogenic osteomyelitis

Bone grafting in the treatment of hematogenic osteomyelitis

Problemi Na Khigienata 8: 9-26

A qualitatively new method is introduced, developed and established in practice on the ground of clinical experience with 44 patients with hematogenic osteomyelitis. Thus the idea about "osteoplastic treatment of osteomyelitis" is adopted. Bone transplantation is the basic and dynamic factor of this type of management. Contrary to traditional concepts the author's clinical experience shows that successful bone grafting is possible provided all specific requirements are met, namely radical removal of the purulent-necrotic substrate, presence of regeneration potential in the recipient bed, creation of favourable conditions for wound healing by first intention, and active struggle against infection as a permanently acting factor, and in case it is already present. The bone transplant in addition to promoting elimination of the osteomyelitic bone defect, which is the primary pathogenic factor of chronic pus discharge, contributes also to the cure of the basic process in the course of its dynamic interaction with the recipient bone. Bone auto-, allo- and xeno (calf)-grafts are used as transplantation material. The indications for osteoplastic treatment, the surgical policy, operative technique and operative procedures are presented. The proposed original operative methods of osteoplastic management are submitted schematically and illustrated by single case reports. Complete cure as the result of osteoplastic treatment alone is attained in 388 cases or 87.3 per cent out of the total number of 444 patients. In the remaining 55 cases in whom the treatment failed, reoperation was performed because of residual foci, complications on behalf of the graft (sequestration), persistent fistulae or skin defects, resulting in the cure of fifty of them. Here too, the attained result is attributable to the osteoplastic treatment. Hence out of the total number of 444 patients operated on a cure is achieved in 434 cases or 97.7 per cent. After comparative evaluation of the quality of bone graft a net preference is given to cancellous autografts. A transplant taken from the iliac crest is considered as the optimal quality one. Regarding massive bone grafts, auto- or allogenous alike, a rather elevated sequestration rate is recorded, 10 and 33 per cent respectively. A particular importance is ascribed to the regenerative qualities of the recipient bed. Results recorded among children are superior. In patients free of fistulae the rate of cures is 19.3 per cent higher in patients with fistulae.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 042412053

Download citation: RISBibTeXText

PMID: 7003589

Related references

Bone homoplasty in treatment of chronic hematogenic osteomyelitis in children. Vestnik Khirurgii Imeni I. I. Grekova 114(2): 99-103, 1975

Role of bone perforation in the treatment of patients with hematogenic osteomyelitis. Khirurgiia 38: 38-42, 1962

Dynamics of the regenerative process in the bone following treatment of acute hematogenic osteomyelitis with the use of penicillin. Vestnik Rentgenologii i Radiologii 37: 26-30, 1962

Surgical treatment of children with consequences of acute hematogenic osteomyelitis of the humeral bone. Vestnik Khirurgii Imeni I. I. Grekova 162(2): 49-54, 2003

Irrigation of the bone marrow canal in the treatment of acute hematogenic osteomyelitis in children. Vestnik Khirurgii Imeni I. I. Grekova 117(12): 67-70, 1976

Hematogenic osteomyelitis of the petrous bone. Journal de Medecine de Lyon 37(885): 825-829, 1956

The relation of hematogenic osteomyelitis and blunt bone trauma. Zentralblatt für Chirurgie 78(2): 52-62, 1953

Plastic repair of bone defects in chronic hematogenic osteomyelitis. Khirurgiia 7(10): 602-612, 1954

Hematogenic osteomyelitis in a child involving the right shoulder bone and lower jaw. Stomatologiia. Stomatology 69(2): 52-55, 1987

Treatment of hematogenic osteomyelitis. Journal International de Chirurgie 12(1): 39-47, 1952

Evaluation of bone grafting in the treatment of chronic osteomyelitis a clinicoradiographic study. Indian Journal of Orthopaedics 19(1): 53-57, 1985

Treatment of chronic hematogenous osteomyelitis by means of saucerization and bone grafting. Surgery Gynecology and Obstetrics 96(3): 265-274, 1953

The diagnostic value of bone scintigraphy in acute hematogenic osteomyelitis and purulent arthritis in childhood. Ugeskrift for Laeger 146(19): 1426-1429, 1984

Acute hematogenic osteomyelitis with total sequestration of the left innominate bone in a child. Kazanskii Meditsinskii Zhurnal 3: 58-59, 1962

Behavior of bone and serum phosphatase in the reparative phase of acute hematogenic osteomyelitis. Fisiol E Med [rome] 17: 151-163, 1950