[Application of traditional Chinese drug soaking, continual irrigation and focus elimination for the treatment of foot osteomyelitis complicated with massive skin defect and denervation].
OBJECTIVE
To evaluate therapeutic effects of traditional Chinese drug soaking,continual irrigation and focus elimination for foot osteomyelitis complicated with massive skin defect and denervation.


METHODS
There were 25 males and 28 females in the study. All the patients suffering from foot osteomyelitis complicated with massive skin defect and denervation were treated with comprehensive therapy including preoperative traditional Chinese drug soaking, skin release, focus elimination,continual irrigation, and two-stage suture if necessary. Among the patients, there were 42 cases of left foot and 11 cases of right one. Fifty-one patients complicated with skin defect and sinus tract,only 2 patients complicated with skin defect. There were 48 patients with denervation caused by spina bifida, 5 patients by other causes.


RESULTS
The follow-up duration was from 1 to 12 years,the mean time was about 5 years. Osteomyelitis recurred in 3 cases and skin defect reoccurred in original position in 9 cases.


CONCLUSIONS
The methods of traditional Chinese drug soaking, continual irrigation and elimination of focus have good effects for foot osteomyelitis complicated with massive skin defect and denervation. To some degree,this therapy may avoid skin flap transplantation, bone graft and amputation. It deserves further studies and promotion.
Wang
Xing-guo
XG
Beaing Osteomyelitis Hospital, Beijing 102206, China. wangxingguo666@sohu.com
Wang
Wei
W
Wang
Jun
J
Ge
Jian-zhong
JZ
D000293:Adolescent; D000328:Adult; D002648:Child; D003714:Denervation; D062109:Dermatologic Surgical Procedures; D004365:Drugs, Chinese Herbal / Q000627:therapeutic use*; D005260:Female; D005500:Follow-Up Studies; D005528:Foot; D005534:Foot Diseases / Q000150:complications* / Q000188:drug therapy* / Q000601:surgery; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000150:complications* / Q000188:drug therapy* / Q000601:surgery; D012867:Skin / Q000294:innervation*; D007507:Therapeutic Irrigation; D055815:Young Adult
D004365:Drugs, Chinese Herbal