Programmed irrigation and drainage in the treatment of patients with suppurative arthritis and intramedullary phlegmons
Iusupov, I.N.; Epifanov, M.V.
Vestnik Khirurgii Imeni I. I. Grekova 159(3): 55-58
2000
ISSN/ISBN: 0042-4625 PMID: 10983342 Document Number: 526083
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.