RESUMO
Out of 1189 patients with osteomyelitis of the Hungarian Institute of Medical Rehabilitation malignant degeneration in the region of purulent bone process has been observed in 6 cases by the authors. Out of them 5 cases were carcinoma planocellulare and 1 case was sarcoma gigantocellulare. During the detailed analyses of the cases it is pointed out by the authors that on the basis of the standpoint established regarding the rehabilitation in locomotor diseases the indication of the amputation in patients with osteomyelitis is not absolutely limited to the cases undoubtedly malignized. Rehabilitation and resocialization of the patients is better promoted with the performed amputation and the up-to-date manufactured prosthesis than by a series of unsuccessful and hazardous therapeutical experiments.
Assuntos
Neoplasias Ósseas/etiologia , Osteomielite/complicações , Abscesso/complicações , Abscesso/etiologia , Idoso , Amputação Cirúrgica , Membros Artificiais , Neoplasias Ósseas/diagnóstico por imagem , Carcinoma/etiologia , Feminino , Tumores de Células Gigantes/etiologia , Humanos , Perna (Membro)/cirurgia , Masculino , Pessoa de Meia-Idade , Radiografia , Sarcoma/etiologia , Tíbia/diagnóstico por imagem , Fraturas da Tíbia/complicaçõesRESUMO
The radiopharmacons produced in Hungary and suitable for the demonstration of reactive bone alterations are discussed by the authors. These pharmacons are the following: 85ScCl2=Strontiumchloride, 153Sm-EDTA=Samarium ethylendiamintetraacetate, 169Yb-citrate=Ytterbium-citrate, 99mTc-HEDSPA=Technetium-hydroxy-ethylene-diphosphonate, 99mTc-pyrophosphate. The scintigraphic pictures obtained by the use of these radiopharmacons are presented. On the basis of their experimental examinations the numerous advantages of the use of 99mTc-HEDSPA are pointed out and the possibilities are outlines, which are to be obtained in the detection of occult bone alterations, in the examination of juvenile patients and perhaps in the case of osteotransplantation.