SU1039488A1 - Method of closing osteomyelitic cavity - Google Patents

Abstract

The method of closing an osteomyelitic cavity by bone osteotomy and subsequent fragment distraction, characterized in that, in order to shorten the treatment time, oblique osteotomy is carried out through an osteomyelitis cavity with a seizure of bone not affected by osteomyelitis above and below the cavity, after bone formation, the symphysis is filled with a bone that does not seize osteomyelitis of the bone above and below the cavity, then after bone formation, the symphysis does not bite above and below the cavity, then after bone formation, the symphysis doesn’t bite above and below the cavity, then after osteomyelitis bones seizure of bone not affected by osteomyelitis, below and below the cavity, after osteoelitis is formed by a symphysis suture, the bone doesn’t bite above and below the cavity. dosed distraction of fragments.

Description

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The invention relates to medicine and to the surgical treatment of osteomyelitis cavities.

There is a method of closing the osteomyelitis cavity by osteotomy of the bone and subsequent distraction of fragment 1,

However, the treatment time is long.

The purpose of the invention is to reduce the duration of treatment.

This goal is achieved in that according to the method of closing the osteomyelitis cavity by osteotomy of the bone and subsequent distraction of the fragment, oblique osteotomy is performed through the osteomyelitis cavity with the seizure of the osteomyelitis bone that is lower and lower than the cavity, then after the bone adhesion is formed, a dose is removed.

The method is performed as follows.

A 1-2 cm incision is made under epidural anesthesia to produce an osteotomy closer to a larger diameter: the osteomyelitis cavity, and it starts and ends 1.5-2 cm higher and below the osteomyelitis cavity within the healthy bone. Osteotomy is also possible through the fistulous duct if it lies close to the diametral point of the large diameter of the osteomyelitis cavity. Sequesters, purulent contents are removed. The wound is sutured with one to two sutures, drained by a rubber graduate. Fixation of fragments is carried out by the method of transosseous osteosynthesis (in particular, by the Ilizarov apparatus). After 8-9 days, a distraction of 0.25 mm begins 4 times a day until the shortening is eliminated, the resulting regenerate fills the osteomyelitic cavity.

In case there is only an osteomyelitis cavity, but there is no shortening, after the osteotomy is performed, the bone fragments are displaced by 2 cm along the osteotomy bevel with the creation of a shortening. The fixation of fragments is carried out by the method of transosseous osteosynthesis. On days 8-9, a distraction of 0.25 mm begins four times a day until the shortening is eliminated. At this time, the osteomyelitis cavity is filled with a regenerator.

In contrast to the bone graft plastics proposed, the method is less traumatic: a 1-2 cm incision is made, while the scar-modified and soft tissues adhered to the bone are not injured. This incision is sufficient to remove sequestors and purulent contents.

With dosed distraction, regenerate is formed — 3 cm per month. Fixation is usually 3 months. Thus, the duration of treatment is shortened by a factor of two, moreover, simultaneous treatment of concomitant orthopedic pathology is possible: a bone defect, shortening.

The use of the fixation of fragments using the method of transverse osteosynthesis (in particular, Ilparova’s apargtotm) makes it possible to load the limb in the first days after the operation, which allows to maintain a normal blood supply, gratefully affecting osteogenesis. The use of physical therapy is possible in the early postoperative period. The function of the joints of the limb does not suffer, and if there were restrictions on the movement of the joints of the limb before the operation, it is possible to develop them in the early postoperative period.

Claims (1)

METHOD FOR CLOSING OSTEOMYELITIC CAVITY by means of bone osteotomy and subsequent fragment distraction, characterized in that, in order to shorten the treatment time, oblique osteotomy is performed through the osteomyelitis cavity with capture of the bone not affected by osteomyelitis above and below the cavity, then, after the formation of bone adhesion, an osteotomy is performed at the site of osteotomy fragment distraction. SU .... 1039488