[Complex treatment of patients with chronic osteomyelitis using osteoplasty]. / Kompleksnoe lechenie bol'nykh khronicheskim osteomielitom s primeneniem kostnoi plastiki.

The work presents results of free bone autoplasty in 312 patients with chronic osteomyelitis of long bones. Complications were observed in 26.9% of the patients in the postoperative period. With regard for reoperations performed in patients with a complicated course of the disease, sanitation of pyonecrotic foci was achieved in 94.4% of the observations. Labour rehabilitation after operations of bone plasty was obtained in 65% of the patients.

[Sensitivity to chemotherapeutic preparations of microflora isolated in chronic posttraumatic osteomyelitis]. / Chuvstvitel'nost' k khimioterapevticheskim preparatam mikroflory, vydeliaemoi u bol'nykh khronicheskim posttavmaticheskim osteomielitom.

Chronic post-traumatic osteomyelitis was mainly caused (59.3 per cent) by various gramnegative bacteria. Staphylococcus, Proteus and P. aeruginosa was most frequent. Bacteria were most frequently isolated from associations of 2-5 species and not from monocultures. However, when the patient microflora was studied in dynamics, the whole associations could not be detected in every of the cases. Sensitivity of the causative agents to 23 antibacterial drugs was tested and it was found that the majority of the organisms were sensitive to gentamicin, rifampicin, biseptol, hydroxyquinolines (5-NOK, enteroseptol), furazolidon (except P. aeruginosa). P. aeruginosa was in addition sensitive to polymyxin. Proteus and other enterobacteria were sensitive to nevigramon, staphylococci and other grampositive bacteria were sensitive to oxacillin, lincomycin, novobiocin and fusidin.