[Infected fractures of the leg treated by splints.].
The authors present their method of treatment of suppurative pseudoarthroses which involves three stages: 1. excision, 2. fixation (stabilization), 3. reconstruction. Their method was inspired by the two-stage technique elaborated by Papineau. The first two stages of treatment are made during one surgical session and involve the removal of all alien and necrotic tissue and tissue altered by inflammation. For fixation of bone segments the authors use an external frame of their own design. Reconstruction is performed by means of spongiose autografts on the 15th day after the first surgical session using the method "support of the revitalized adjacent fibula" with partial, cca 80%, closure of surrounding soft tissues and skin. The method is demonstrated in a group of 18 infected fractures of the leg treated primarily by surgery, using splints. Key words: osteosynthesis of the leg by splints, infected pseudoarthrosis of the leg, autospongioplasty.
Lortat-Jacob
A
A
Assistance Publique Hôpitaux de Paris, Ambroise Paré, Service de Chirurgie Orthopédique et Traumatologique, Boulogne, Francúzsko.
Paukovic
J
J
Hardy
P
P
Benoit
J
J