Prognosis and prevention of postoperative suppurative-septic complications of hematogenic osteomyelitis
Kutin, A.A.
Khirurgiia 1991(12): 110-116
1991
ISSN/ISBN: 0023-1207 PMID: 1803106 Document Number: 379755
The article deals with experience in the treatment of 295 patients with hematogenous osteomyelitis, who accounted for 51.4% of adult patients with various forms of osteomyelitis. In 15.4% the acute stage of the disease was complicated by sepsis. A recurrence in chronic disease was encountered in 42% of cases. In view of this, postoperative pyoseptic complications were analysed and the main ways for their reduction defined. Early opening of the medullary canal in patients with acute hematogenous osteomyelitis and expansion of the scope of resection in chronic forms have a favourable effect on the prognosis of the disease. Recovery was registered in 74.2% of cases after sequestrnecrectomy and in 94.6% of cases after tubular bone recanalization. Thus, patients with hematogenous osteomyelitis must be treated at specialized departments with early hospitalization if acute hematogenous osteomyelitis is suspected. Operation, ranging from sequestrnecretomy to possible bone extirpation, is still the preferred method in chronic forms of the disease.