ABSTRACT
Regional anesthesia was studied for its impact on the functional status of a peripheral nerve in 20 patients with purulent diseases of the lower extremities in the presence of diabetes mellitus. The impact of conservative therapy on the peripheral nerve was also studied in these patients. There was no negative impact of regional methods of anesthesia on the function of the nerve, its improvement due to treatment with alpha-lipoic acid and serotonin adipinate.
Subject(s)
Adipates/therapeutic use , Anesthesia, Conduction , Diabetic Foot/complications , Diabetic Neuropathies/drug therapy , Peripheral Nerves/drug effects , Serotonin/analogs & derivatives , Thioctic Acid/therapeutic use , Adult , Aged , Aged, 80 and over , Anesthesia, Conduction/adverse effects , Diabetic Foot/pathology , Electromyography , Female , Foot/pathology , Humans , Male , Middle Aged , Necrosis , Peripheral Nerves/physiopathology , Serotonin/therapeutic use , Suppuration/pathologyABSTRACT
The experience in treatment of 40 patients with osteomyelitis and chondritis of the bones of thoracic wall is presented. 39 patients (of 40) underwent surgery with due regard to an adequate extent of resection within so-called borders of intact tissues. Critical analysis of literature and authors' own experience made it possible to establish strict borders of resection of damaged bones in this disease of thoracic wall frame and to obtain good results of combined treatment in patients over 50 years. Complete removal of chondral tissues and resection of bones within the area of probably normal anatomic formation of the bone, irrespective of the origin of osteomyelitis and chondritis (hematogenous, exogenous), have promoted recovery of the patients. There were no relapses during 1-7 year period.
