RU2286104C2 - Method for treating osseous cavity after necrosequestrectomy - Google Patents

Abstract

FIELD: medicine, surgery.

SUBSTANCE: one should irrigate osseous cavity with 0.5-1.2%-sodium chloride solution saturated with ozone-oxygen mixture for about 5-10 min at ozone concentration being 5000-10000 mcg/l, moreover, before suturing it is necessary to substitute osseous cavity with osseous transplant designed according to the size of osseous cavity. The innovation enables to increase efficiency of antiseptic treatment and, thus, shorten terms of therapy conducted.

EFFECT: higher efficiency.

1 ex

Description

The invention relates to medicine, namely to the field of surgical treatment of chronic diseases with post-traumatic osteomyelitis.

Purulent-inflammatory processes occupy a leading place in the structure of morbidity and mortality. Among them, chronic post-traumatic osteomyelitis is especially distinguished among them by the severity of the course, the difficulties of diagnosis and adverse outcomes.

To date, the operational method of treatment is the main and most effective in the treatment of this type of pathology.

Radical surgical intervention in itself involves not only the removal of the osteomyelitis focus as such, but also the elimination of favorable conditions for the existence of infection. The most important element of surgical intervention is necrosecvestrectomy with subsequent plastic surgery of the postoperative cavity. As a result, high-quality preparation of the cavity before graft plastic surgery is one of the necessary conditions for successful and effective treatment.

A known method of treating an operational wound by washing it with sea water, applying a bandage and subsequent suturing [1].

The disadvantage of this method is the relatively high number of relapses of osteomyelitis after treatment of bone cavities with sea water.

A known method of treating an surgical wound by treatment with an aqueous solution of a drug and suturing [2].

However, the use of this method does not exclude the possibility of postoperative complications and does not reduce the time of wound healing.

There is a method of treating purulent-inflammatory wounds by surgical treatment and washing with an antiseptic solution supplied to the wound surface in the form of a vortex flow [3].

The disadvantage of this method is the low effectiveness of the treatment.

A known method of treating the bone cavity with a solution of antiseptic fluid, for example, a solution of furatsilina [4].

The disadvantage of this method is the low penetration in bone tissue and often insufficient bactericidal activity in the treatment of the bone cavity.

A known method of treating an surgical wound by irrigation with an aqueous solution of a drug and subsequent suturing. Moreover, the quality of the drug used is a solution of sodium chloride with a concentration of from 3.0 to 3.2% [5].

The disadvantage of this method is the low efficiency of antiseptic treatment of bone treatment after sequestrectomy.

The aim of the invention is to increase the effectiveness of antiseptic treatment of bone cavities after necrosecestrectomy.

This goal is achieved by the fact that a solution of sodium chloride with a concentration of from 0.5 to 1.2%, saturated for 5-10 minutes with an ozone-oxygen medical mixture with an ozone concentration of 5000-10000 μg / l, is used as a medicine.

Comparison of the proposed method with others known in the field of medicine, showed its compliance with the criteria of the invention.

The proposed method for treating the bone cavity after necrosecestrectomy is implemented as follows.

A solution of sodium chloride of the declared concentration is placed in a vial of 200-400 ml and saturated by barbation with an ozone-oxygen mixture for 5-10 minutes with an ozone concentration of 5000-10000 μg / l, the bone cavity is irrigated with the resulting solution and all subsequent manipulations are performed.

Clinical example. Patient F., 29 years old, diagnosed with chronic post-traumatic osteomyelitis of the right tibia. Performed necrosecestrectomy. The cavity dimensions were 60 × 25 × 10 ml, 400 ml were irrigated with a 0.89% solution of sodium chloride saturated (sparged) for 5 minutes with an ozone-oxygen mixture with an ozone concentration of 10,000 μg / L. A bone graft was prepared according to the size of the bone cavity and a postoperative cavity was replaced with it. The wound was sutured in layers tightly. The wound healed by primary intention after one week with a good long-term result.

Using the proposed method allows to increase the effectiveness of antiseptic treatment of bone cavities after necrosecestrectomy, which in turn reduces the duration of treatment.

Using the proposed method is advisable in the purulent-surgical departments of medical institutions in the treatment of chronic post-traumatic osteomyelitis of the musculoskeletal system.

Information sources

1. Shakhnazarov A.B., Lukash I.V. Sea water and its therapeutic and prophylactic use. M .: Medicine, 1966. S.40-41.

2. Struchkov V.I. and other Purulent wound. M .: Medicine, 1975. S. 288-289.

3. Auth. testimonial. USSR No. 1593631, class A 61 B 17/00, 1990.

4. Khomich L.I. Chronic osteomyelitis Minsk, 1977.S. 94.

5. Auth. testimonial. USSR No. 1109168, cl. 61 K 33/14, 1984.

Claims (1)

A method of treating the bone cavity after necrsecvestrectomy by irrigation with an aqueous solution of sodium chloride and subsequent suturing, characterized in that the irrigation is performed with a 0.5-1.2% solution of sodium chloride saturated with an ozone-oxygen mixture for 5-10 minutes with an ozone concentration of 5000 -10000 μg / l, and before suturing, the bone cavity is replaced by a bone graft made according to the size of the bone cavity.