ABSTRACT
AIM: To present the results of treatment of long bones chronic osteomyelitis using local cement reinforcing antibacterial implant. MATERIAL AND METHODS: The implant is made intraoperatively using polymethylmethacrylate. It was used in main group (n=30), while conventional treatment was applied in comparison group (n=30). RESULTS: Better early and remote outcomes were shown in main group including more effective and earlier suppression of infectious process, more than 2-fold decrease of recurrent infection incidence, minimization of risk of pathological fracture due to internal reinforcement, early recovery of extremity's function, creation of favorable conditions for bone structures restoration, substitution of post-resection bone defect and following organotypic reorganization of bone tissue.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Cementoplasty , Dissection , Fractures, Spontaneous , Humerus/surgery , Leg Bones/surgery , Osteomyelitis , Polymethyl Methacrylate/therapeutic use , Postoperative Complications/prevention & control , Absorbable Implants , Adult , Bone Cements/therapeutic use , Cementoplasty/adverse effects , Cementoplasty/instrumentation , Cementoplasty/methods , Dissection/adverse effects , Dissection/methods , Drug Administration Routes , Female , Fractures, Spontaneous/etiology , Fractures, Spontaneous/prevention & control , Humans , Humerus/diagnostic imaging , Humerus/pathology , Leg Bones/diagnostic imaging , Leg Bones/pathology , Male , Middle Aged , Osteomyelitis/diagnosis , Osteomyelitis/physiopathology , Osteomyelitis/surgery , Radiography , Treatment OutcomeABSTRACT
New-generation high-amplitude ultrasonic apparatuses for therapy and surgery developed at the Automatika Plant (Omsk, Russia) are described. The apparatuses are equipped with adaptive adjustment and control systems increasing the reliability, operation safety, and service longevity of the apparatuses.