RESUMO
The article analyses the results of surgical treatment of 227 patients with osteomyelitis of the foot bones. The peculiarities of the course of the disease, determined by the anatomical and functional features and the concomitant pathological conditions, are evaluated. Comparative appraisal of various methods of examination showed the radionuclide method to be most informative. The peculiarities of surgical operations in pyoinflammatory diseases of the foot bones, which are due to the necessary preservation of a segment of the foot for subsequent correction, call for obligatory application of combined necrectomy and a complex of agents with polyfunctional activity in addition to the traditional mechanical methods of treatment of the bone defect. The results of complex treatment were good in 72%, satisfactory in 23%, and poor in 5% of patients.
Assuntos
Doenças do Pé/diagnóstico por imagem , Doenças do Pé/cirurgia , Osteomielite/diagnóstico por imagem , Osteomielite/cirurgia , Adulto , Doença Crônica , Terapia Combinada , Combinação de Medicamentos , Eritromicina , Feminino , Doenças do Pé/tratamento farmacológico , Gentamicinas/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Ortopedia/métodos , Osteomielite/tratamento farmacológico , Peptídeo Hidrolases/uso terapêutico , Cintilografia , Serina Endopeptidases , Resultado do TratamentoRESUMO
Sipralynate is a powder containing the broad spectrum antibiotic sisomicin, the enzyme protease C and the polymer carrier sodium alginate with a drainage capacity promoting wound regeneration. The clinical trials with sipralynate showed that it was highly efficient in the treatment of patients with suppurative infections of the soft tissues and ossa pedis osteomyelitis. The tolerance was good.
Assuntos
Alginatos/uso terapêutico , Gluconato de Cálcio/uso terapêutico , Doenças do Pé/tratamento farmacológico , Osteomielite/tratamento farmacológico , Serina Endopeptidases/uso terapêutico , Sisomicina/uso terapêutico , Infecções dos Tecidos Moles/tratamento farmacológico , Administração Tópica , Adulto , Idoso , Idoso de 80 Anos ou mais , Portadores de Fármacos , Combinação de Medicamentos , Avaliação de Medicamentos , Feminino , Doenças do Pé/microbiologia , Ácido Glucurônico , Ácidos Hexurônicos , Humanos , Masculino , Pessoa de Meia-Idade , Osteomielite/microbiologia , Pós , Infecções dos Tecidos Moles/microbiologiaRESUMO
Protegentin is a formulation in the form of an ointment for local application. Its high efficacy was demonstrated in the treatment of wounds in the 1st phase of the process, extended decubitus, trophic ulcers, wounds of various genesis not healing for prolonged periods, urogenital infections, abscesses, maxillofacial phlegmon and abscessing parodontosis. The ointment showed good draining, proteolytic and bactericidal effects. The tolerance was good. The positive results were observed in 97 per cent of the cases.
