[The surgical treatment of closed osteomyelitic cavities by using a free full-thickness skin autograft].
The article describes a method for treatment of osteomyelitic bone cavities with predominant location in the distal part of the tibia and foot bones which are under unfavorable muscular protection. It comprises one-stage sequestrectomy and plastic correction for repair of the cleansed bone cavity with a free full-thickness autodermal graft and application of a complete suture to the skin wound over the cavity. A principally new feature of the method is application of the graft to freshly-treated walls of the bone cavity. A favorable local effect of the autodermal graft on the bone cavity is noted: hemostatic, substitutional, and reparative. The method was used with a favorable outcome in operations on 10 patients of 21 to 70 years of age. The osteomyelitic focus was located in the femur (2 cases), tibia (6) and calcaneus (2).
Vatagin
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D000328:Adult; D000368:Aged; D002111:Calcaneus / Q000601:surgery; D002908:Chronic Disease; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D013977:Tibia / Q000601:surgery