[Results of the surgical treatment of chronic hematogenous osteomyelitis of the tibia. A series of 122 cases].
Between 1968 and 1987 the authors treated 122 cases of chronic haematogenous osteomyelitis of the tibia by operation. The procedures used were drilling, sequestrectomy, and saucerisation, with bone resection in 2 cases. Operation was combined with chemotherapy for between 10 and 60 days. Eleven patients, thought to be healed, were lost to follow-up after 4 months. The remainder were reviewed for between 4 and 288 months, 97 for more than one year. After the first operation 102 patients healed completely, while 20 relapsed. Of these, 12 were treated by further operation and 8 by drainage of the abscess. Two patients relapsed twice and another 4 times. When last seen 110 patients were healed, 6 had an intermittent discharge and 6 had a permanent sinus. Special features of chronic osteomyelitis of the tibia are discussed, including destructive lesions of the knee and tibio-tarsal joints, a high incidence of axial deformity, indications for particular surgical approaches, the use of cancellous grafts and arguments against bone resection. The lesions carry a relatively good prognosis.
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Universitaire de Douéra (Centre Hospitalo-Universitaire de Blida), Tipaza, Algérie.
A
A
Saighi-Bouaouina
A
A
Daoud
M
M
Martini
D000293:Adolescent; D000328:Adult; D002648:Child; D002908:Chronic Disease; D003475:Curettage; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery*; D011859:Radiography; D012086:Reoperation; D013514:Surgical Procedures, Operative / Q000379:methods; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery
Résultats du traitement chirurgical des ostéomyélites hématogènes chroniques du tibia. Une série de 122 cas.