ABSTRACT
An analysis of causes of the appearance of postoperative osteomyelitis in 537 patients treated in the clinic has shown that in 82% they resulted from errors made by surgeons during operations, in 16% from insufficient examination of the patient during the preoperative period and erroneous management of the patients after operation. Strict observation of the requirements during the preoperative period, good organization, supply and performing the operation and postoperative managements, as well as the elevation of immune reactivity of the macroorganism allowed the percentage of postoperative osteomyelitis to be considerably reduced.
Subject(s)
Fracture Fixation, Internal/adverse effects , Fractures, Bone/surgery , Osteomyelitis/etiology , Surgical Wound Infection/etiology , Animals , Humans , Osteomyelitis/prevention & control , Postoperative Care , Preoperative Care , Rabbits , Surgical Wound Infection/prevention & controlABSTRACT
The substitution of osseous cavities by fat pedicle flaps was performed in 29 patients with chronic osteomyelitis after radical surgical treatment of the osteomyelitic focus. Recovery was achieved in 24 patients after a single operation. Five patients were subjected to reoperations. The authors consider the fat tissue to be a reserve plastic material for surgery of chronic osteomyelitis.
