title: [Programmed irrigation and drainage in the treatment of patients with suppurative arthritis and intramedullary phlegmons].
abstract: Programmed irrigation and drainage were used in the process of treatment of 17 patients with purulent arthritis of the knee joint and talocrural articulation and of 13 patients with intramedullary phlegmons of the femoral, tibial and humeral bones. The programmed irrigation and drainage were proved to decrease the microbial dissemination of the wash liquid to 10 colony-forming units per 1 ml during 1-3 days. The method allowed to avoid synovectomy and resection of the joint in patients with purulent gonitis, to decrease the risk of appearance of secondary infections. The programmed irrigation and drainage for intramedullary phlegmons provide complete sanitation of the purulent focus during 7-10 days, create favorable conditions for consolidation of fractures and prevent the development of chronic osteomyelitis.
authors.forename: Iu N
authors.initials: IuN
authors.lastname: Iusupov
authors.forename: M V
authors.initials: MV
authors.lastname: Epifanov
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000843:Ankle Joint / Q000601:surgery; D001170:Arthritis, Infectious / Q000601:surgery*; D001855:Bone Marrow Diseases / Q000601:surgery*; D002481:Cellulitis / Q000601:surgery*; D004322:Drainage / Q000379:methods; D006801:Humans; D007719:Knee Joint / Q000601:surgery; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D007507:Therapeutic Irrigation / Q000379:methods; D013997:Time Factors