[Surgical treatment of total forms of chronic osteomyelitis of the femur in children].
In the article is described a new method of treatment of chronic hematogenic osteomyelitis of femur in children in case of its total affection. The essence of the method consists in making a longitudinal groove along the whole length of a bone by means of chisels and milling cutters till the medullar canal is reached and removal of pus, sequesters, pathologic granulations and zones of excessive osteosclerosis. The cavity after bathing is subjected to ultrasound cavitation; fibrinous film and gauze plastrons, impregnated with hemostatic sponge, are placed in it with the proximal and distal ends connection to the tubular drainage in order to ensure permanent lavage of cavity with antiseptic solution and active vacuum aspiration of its content with the subsequent application of sutures on the wound, tight bandaging of a limb and its immobilization. 6 patients have been subjected to treatment by this method with good outcomes in all cases. The results have been followed through 2.5-8 years.
Gorbylev
M N
MN
Sorokin
S A
SA
Tikhonenkov
E S
ES
D002648:Child; D004322:Drainage; D005269:Femur; D005500:Follow-Up Studies; D006801:Humans; D010019:Osteomyelitis / Q000209:etiology / Q000601:surgery*; D011182:Postoperative Care; D007507:Therapeutic Irrigation; D013997:Time Factors
Khirurgicheskoe lechenie total'nykh form khronicheskogo osteomielita bedrennoĭ kosti u deteĭ.