[Causes, surgical treatment and prevention of chondritis and osteomyelitis of the ribs and sternum].
The causes of chondritis and osteomyelitis of the ribs and sternum in 33 patients were analysed. It was found that in 70% of them purulent inflammation developed in the first 2-12 weeks after injury to and operations on the thoracic and abdominal organs. The average duration of the disease prior to hospitalization was about 16 months. Pathogenic microflora was isolated from the secretions of the affected tissues in 70.96% of patients. Different forms of the clinical course of the disease were distinguished according to the manifestation of the principal symptom: infiltrative-inflammatory, algesic, fistulous, empyema-like, mediastinitis-like, and a form poor in symptoms. The results of nonoperative treatment were studied. The use of X-ray therapy in a complex with nonoperative measures in 9 (25.71%) patients proved to be ineffective. Surgery was the main method for the management of chondritis and osteomyelitis of the ribs and sternum. It led to recovery of 31 (89.57%) patients without a second surgical intervention.
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D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007249:Inflammation; D008297:Male; D008875:Middle Aged; D010007:Osteochondritis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010019:Osteomyelitis / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications; D012272:Ribs / Q000601:surgery; D013249:Sternum / Q000601:surgery; D013997:Time Factors
Prichiny, khirurgicheskoe lechenie i profilaktika khondrita i osteomielita reber i grudiny.