Treatment of chronic osteomyelitis with one-stage allograft / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
; (6): 272-275, 2006.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-280898
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To avoid disadvantages of two-stage cancellus bone autograft, we investigated the feasibility of one-stage allograft for reconstructing the bone defect resulting from debridement of chronic osteomyelitis in limbs.</p><p><b>METHODS</b>Between Feb. 1999 and Apr. 2004, 35 cases of chronic osteomyelitis (8 cases of nonunion) underwent one-stage allograft after debridement in our hospital.</p><p><b>RESULTS</b>Thirty-five cases were followed up for an average period of 28 months (range, 13 to 55 months), in which 32 cases (91.43%) were found no infection, and 3 cases (8.57%) were confirmed recurrence of infection. Four out of 8 cases of bone nonunion healed in 9.5 months on average (range, 3 to 12 months), and another case also acquired union after redebridement and autograft of ilium due to infection recurrence 35 days after surgery. Renonunion occurred in 3 cases, 2 out of whom healed after secondary operation with autograft. One case of renonunion and 2 cases of infection recurrence refused further treatment.</p><p><b>CONCLUSIONS</b>A high rate of infection arrest can be attained when one-stage allograft is used to reconstruct the bone defect of chronic osteomyelitis after debridement in limbs. Therefore, chronic osteomyelitis should not be regarded as a contraindication to one-stage allogeneic bone grafting. Renonuion, however, achieves a relatively high rate, especially in cases of segmental bone defect.</p>
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Osteomyelitis
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General Surgery
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Transplantation, Homologous
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Chronic Disease
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Bone Transplantation
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Debridement
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Methods
Limits:
Adolescent
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Adult
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Aged
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Child
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Child, preschool
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Female
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Humans
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Male
Language:
English
Journal:
Chinese Journal of Traumatology
Year:
2006
Document type:
Article