[Chronic gunshot osteomyelitis of the long bones of 40-45 years' duration and its significance for expert testimony]. / Khronicheskii ognestrel'nyi osteomielit dlinnykh kostei 40-45 letne davnosti i ego ékspertnoe znachenie.

The authors have made a clinicoroentgenologic and pathomorphologic comparison of the materials of examination of 81 patients aged 60 to 75 years with exacerbations of chronic gunshot osteomyelitis of the long bones after 40-45 years. The clinicoroentgenologic characteristics of active and slow exacerbations is presented. Four types of changes in the roentgenologic picture have been revealed: destructive, necrotic, corticalitis type, fistulous and mixed. The peculiarity of the manifestations of osteonecrosis in the form of sequesters and two types of crumb-like inclusions and bone reconstruction (with linear separation of the compact bone layer on the inner surface and perifocal osteoporosis) has been pointed out. Besides, some problems of medical labour examination in chronic gunshot osteomyelitis after 40-45 years have been considered.