Multi-tube drainage network anatomical catheter lavage system for chronic osteomyelitis after fracture surgery
10.3760/cma.j.issn.0253-2352.2011.08.010
- VernacularTitle:多网管解剖型置管灌洗法治疗骨折术后继发慢性骨髓炎
- Author:
Jian CUI
;
Wenzhao XING
;
Liang SUN
;
Chunpu ZHANG
;
Wenling FENG
;
Zhigang KONG
- Publication Type:Journal Article
- Keywords:
Fractures,bone;
Osteomyelitis;
Treatment outcome
- From:
Chinese Journal of Orthopaedics
2011;31(8):877-883
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical application of the multi-network anatomical lavage on the treatment of chronic osteomyelitis after fracture surgery. Methods A retrospective analysis of 40 patients (41 sites) with chronic osteomyelitis after fracture surgery was performed from June 2006 to December 2008. There were 35 males and 5 females with an average of 42.7 years (range, 16-68). All 40 cases were treated with debridement, closing the cavity, and placing the multi-tube drainage network anatomical catheter lavage system. At the same time, sensitive antibiotics were used for 3 to 4 weeks. Rechecks were scheduled every 3 months after operation, including wound healing, X-ray presentation, ESR and C-reactive protein.Cure criteria depends on the conditions of the inflammation when the lavage treatment was over, and whether it relapsed six months after operation, including wound healing, systemic symptoms, ESR and C-reactive protein. Results Judged by the clinical outcomes when the lavage treatment was over and six months after operation, the effects were categorized into 3 levels, including excellent in 37 cases with primary wound healing, and without relapse six months later;, good in 2 with poor wound healing, the wound healed after a period of treatment without recurrence; poor in one with recurrent sinus infection and a prolonged unhealed wound, after another operation he was healed. 36 cases were treated with bone graft and internal fixation operation, and the fractures were healed after surgery, the fractures were healed directly in 4 cases without bone graft. The patients were followed up for an average of 43.2 months (range, 30-50) after operation, and none relapsed. Conclusion The multi-tube drainage network anatomical method is feasible and effective on the treatment of chronic osteomyelitis after fracture surgery with a high cure rate.
