Open AccessComplex one-stage treatment of nonunion fractures, false joints and defects of long bones of the extremities complicated by osteomyelitis
Author(s) -
Z. I. Urazgildeev,
O. M Bushuev,
A. S. Roskidailo,
V. A. Lyalin,
L. N. Furtseva,
T. P. Gorokhov,
Ritabh Kumar
Publication year - 2022
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto99985
Subject(s) - medicine , surgery , nonunion , osteomyelitis , osteosynthesis , stage (stratigraphy) , rehabilitation , paleontology , biology , physical therapy
The experience in complex one-step treatment of306patients with ununited fractures, pseudoarthrosis and defects of long bones as sequelae of traumatic (260 patients) and gunshot (46 patients) injuries complicated by osteomyelitis was presented. Complex treatment included radical fistulosequestrnecrectomy up to vast resection with simultaneous mono-, bi- or polyfocal osteosynthesis by pin-, rod or pin-rod external fixation devices; various types of dermatoplasty (when required); stimulation osteogenesis; general and local target antibacterial therapy; adequate postoperative drainage; correction of immune status and metabolic therapy; rehabilitation. That method enabled to decrease more than twice the rate ofpostoperative recurrent of osteomyelitic process; considerably decrease the duration and improve outcomes of treatment.