Medical- Biological and Socio-Psychological Problems of Safety in Emergency Situations
https://doi.org/10.25016/2541-7487-2015-0-3-56-61
Abstract
Despite advances in medical science, osteomyelitis treatment results remain unsatisfactory due to the high frequency of amputations (10%) and disability (42%). Purpose of this study — to improve treatment results in patients with bone fractures complicated with posttraumatic osteomyelitis. There have been developed methods of treatment aimed at suppuration interruption. To justify them, an experimental study was carried out on 9 shins of 5 corpses in order to sample donor areas for perfused muscle grafts. The results of surgical treatment were assessed in 53 patients after necr-, sequestrectomy, transosseous apparatus fixation, as well as transplantation of perfused muscle grafts. Fracture healing and relief of osteomyelitis occurred in 52 patients. The developed methods of surgical treatment of fractures complicated with post-traumatic osteomyelitis proved to be effective.
About the Authors
N. G. Gubochkin
The Kirov Military Medical Academy
Russian Federation
Russian Federation
Dr. Med. Sci., Head of the Reconstructive and Plastic Surgery Unit of the Department of Military Traumatology and Orthopedics, the Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
V. M. Gaidukov
The Kirov Military Medical Academy
Russian Federation
Russian Federation
Dr. Med. Sci., Prof., Department of Military Traumatology and Orthopedics, the Kirov Military Medical Academy
A. M. Konovalov
The Kirov Military Medical Academy
Russian Federation
Russian Federation
doctor, Department of Military Traumatology and Orthopaedics, the Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
References
1. Voennaya travmatologiya i ortopediya [Military Traumatology and Orthopedics]. Ed. V.M. Shapovalov. Sankt-Peterburg. 2014. 547 p. (In Russ.)
2. Grinev M.V. Osteomielit [Osteomyelitis]. Leningrad. 1977. 152 p. (In Russ.)
3. Kornev P.G. Ostryi ognestrel’nyi osteomielit [Gunshot osteomyelitis]. Opyt Sovetskoi meditsiny v Velikoi Otechestvennoi voine 1941–1945 gg. [Experience of Soviet Medicine in Great Patriotic War of 1941–1945] Moskva. 1951. Vol. 2, Part 1: Khirurgiya [Surgery]. Section 1: Obshchie voprosy voenno-polevoi khirurgii (gnilostnaya infektsiya, anaerobnaya infektsiya, stolbnyak, osteomielit) [Common questions of the field surgery (putrid infection, anaerobic infection, tetanus, osteomyelitis]. Pp. 276–300. (In Russ.)
4. Linnik S.A. [et al.]. Travmaticheskii i posleoperatsionnyi osteomielit pri sochetannykh i mnozhestvennykh povrezhdeniyakh nizhnikh konechnostei [Traumatic and postoperative osteomyelitis with combined and multiple injuries of lower limbs]. Izvestiya Akademii nauk Respubliki Tadzhikistan [Proceedings of the Academy of Sciences of the Republic of Tajikistan]. 2014. N 1. Pp. 99–104. (In Russ.)
5. Lubegina Z.P. K voprosu o zameshchenii polostei pri khronicheskom osteomielite steblem Filatova [To the question of replacing the cavities after chronic osteomyelitis with Filatov flaps]. Ortopediya i travmatologiya [Orthopedics and Traumatology]. 1960. N 3. Pp. 3–7. (In Russ.)
6. Ovdenko A.G. Ognestrel’nye raneniya i ognestrel’nyi osteomielit konechnostei [Gunshot wounds and limb osteomyelitis]. Sankt-Peterburg. 2010. 238 p. (In Russ.)
7. Rak A.V., Nikitin G.D., Linnik S.A. [et al.]. Osteomielit taza, osteoartrit tazobedrennogo sustava i ikh ortopedicheskie posledstviya: khirurgicheskoe lechenie: kniga-atlas [Osteomyelitis of pelvis, hip osteoarthritis and their orthopaedic consequences: surgical treatment: book-atlas]. Sankt-Peterburg. 2007. 502 p. (In Russ.)
8. Buncke H.J. [et al.]. Free osteocutaneous flap from a rib to the tibia. Plast. Reconstr. Surg. 1977. Vol. 59, N 6. P. 799–805.
9. Holtom P.D. [et al.]. Introduction to adult posttraumatic osteomyelitis of tibia. Clin. Orthop. 1999. N 360. P. 6–13.
10. Orr H.W. Osteomyelitis and compound fractures. St. Louis, 1929. P. 44–69.
Review
For citations:
Gubochkin N.G., Gaidukov V.M., Konovalov A.M. Medical- Biological and Socio-Psychological Problems of Safety in Emergency Situations. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2015;(3):56-61. (In Russ.) https://doi.org/10.25016/2541-7487-2015-0-3-56-61
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