SU1286216A1 - Method of treatment of osteomyelitis - Google Patents

Abstract

The invention relates to medicine, specifically to cheirisphagia, which can be applied in the treatment of acute and chronic osteomyelitis. The purpose of the invention is to reduce the treatment time and prevent relapse. For this, osteoperforating of the bone is performed, the lesion is washed. Through the perforations in the bone marrow canal in the area; inflamed bone sites 1- a silver electrode 2 is inserted with a microirrigator 3. The electrode is isolated with a perforated chlorvinyl tube 4. Electrode 5 is connected to an electrophoresis apparatus, antibiotics are administered via a microirrigator, either alone or with heparin, wire, electrophoresis during 40-50 minutes with a current density of 0.05-0.1 mA. Also in the postoperative period, intramuscular antibiotics, detoxification therapy taking into account weight and pathological losses, desensitizing, stimulating, symptomatic therapy, as well as exercise therapy, are prescribed. 1 il. From $ W

Description

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The invention relates to medicine, namely to surgery, and may not be used for the treatment of acute and chronic osteomyelitis.

The purpose of the invention is to reduce the treatment time and prevent relapse.

The drawing shows a diagram of an apparatus for carrying out the method.

The method is carried out as follows.

After preoperative preparation, an operation is performed with osteoperfaction of the bone and washing of the lesion. A silver electrode 2 with a microirrigator 3 is inserted into the bone-brain canal in the area of the inflamed bone area 1 through the perforation hole in the bone area 1, the electrode is isolated using a perforated vinyl chloride tube 4. The electrical current conductor is connected to the electrode 5 to the device for elec trotophoresis through the micro irrigator input t antibiotics in pure form or with heparin, carried out at this time electrophoresis for 40-50 minutes with a current density of 0.05-0.1 mA.

PRI me R 1. Patient A.j 11 years old Diagnosis: acute hematogenous osteomyelitis of the lower and middle third of the tibia on the left, local form. He entered two days after the onset of the disease. On admission, the condition is average. Body temperature 38.2 C, pulse 120 beats per minute. Complaints of pain in the left leg. The boy did not step on the left foot. The left shin of the lower third is edematous, the skin is hot, hyperemic. Palpation and axial load are sharply painful. Radiograph of bone pathology was not revealed.

After preoperative preparation, an operation was performed: incisions and osteosperies, pus was obtained. Left intraosseous silver electrode. The wounds are tightly closed, leaving the glove drain.

In the postoperative period, treatment was carried out: Tsefomizin, penicillin, intraosseous electrophoresis with kanomycin, detoxification therapy taking into account weight and pathological losses, desensitizing, stimulating, symptomatic therapy, exercise therapy. The wounds healed by primary tension. Stitches are you for 10-5 days. Electrode removed on the 14th day. Immobili

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Nazi produced up to 3 weeks. On the 7th day the temperature and blood counts normalized. Discharged home in satisfactory condition without immobilization; limb function is not impaired. Control examination after 3 months: no complaints, the function of finiteness is not impaired. Control examination after 3 years: the boy is healthy, the function of the limb is in full, there is no shortening.

PRI mme R 2. Patient G., 10 years. Diagnosis: acute hematogenous osteomyelitis of the tibia on the left, local form. Received 3 days after the onset of the disease with complaints of pain in the left leg, fever. On admission, the state of average body weight, body temperature is 39 ° C, the pulse is 116 beats per minute, the left lower leg is swollen in the upper third, and the skin is hyperemic. Palpation and load along the axis are sharply painful.

After preoperative preparation - surgery - sections of freziv trephine bone, pus was obtained. An electrode is left in the bone marrow channel. In the postoperative period, treatment was carried out: penicilpine, levomycetin, ampicillin, monomitsin, intraosseous electrophoresis with monomitsin and heparin. Detoxification therapy with weight and pathological loss. Stimulating and desensitizing therapy. Immobilization of the limb for 3 weeks, exercise therapy. Temperature and blood counts returned to normal on the 8th day. Btisan home without immobilization. Control examination after 3 months: no complaints, function of the end is not broken, there is no shortening.

All patients, along with intraosseous electrophoresis, carried out the following therapy on the affected bone segment: antibacterial, taking into account the sensitivity of microflora,

detoxification, taking into account the weight of the patient and current pathological losses, correction of the electrolyte balance,. A complex of vitamins, blood and plasma transfusions according to indications, in severe cases, active and passive immunization was carried out. Inhibitors of proteolysis, desensitizing and symptomatic therapy, ligation, immobilization were applied.

31286216.4

Claims (1)

No complications were observed in the postoperative inventions formula. The treatment of osteomyelitis was observed, and there was no transition of the process involving osteoperforation, necroectomy, ; cronches form. The average bed intake of antibiotics and fortifying was 27 + 3. The patients did not have a therapy that distinguishes the function of the limb and is sharp because, in order to reduce Major destructive changes in the treatment and prevention of roar of the affected bone on the control cydives, additionally intrakobtno radiographs after surgery line electrophoresis of antibiotics treatment and anticoagulants for 40. - 50 min.