ISSN:
1432-5195
Keywords:
Chronic osteomyelitis
;
Excision
;
Grafting
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Description / Table of Contents:
Résumé De janvier 1960 à janvier 1974, 180 cas d'ostéomyélite chronique furent traités par un même chirurgien au sein de l'unité d'infection de l'Hôpital Notre-Dame de Montréal. De ces cas, 71.4% furent traités par mise à plat simple suivie de fermeture secondaire ou de greffe cutanée d'épaisseur moyenne. Dix cas (5.4%) durent subir une amputation. Cependant dans 39 cas deux techniques semblables d'excision-greffe à ciel ouvert furent utilisées. L'origine de l'infection était surtout traumatique et le microbe le plus souvent en cause, le staphylocoque, surtout sensible à la cloxacilline et à la dicloxacilline. Les résultats dépassèrent nos prévisions, amenant une guérison plus qu'adéquate dans 93% des cas. Deux récidives tardives furent enregistrées, 17 ans et 4 ans après la fin du traitement.
Notes:
Summary From January 1960 to January 1974, 180 cases of chronic osteomyelitis were treated by the same surgeon in the infection unit of Notre-Dame Hospital in Montreal. Of these cases, 71.4% were treated by saucerization, followed by secondary closure or by skin grafting. In ten cases (5.4%) the limb was amputated. However, in 39 cases two similar techniques of open excision and grafting were used. The infection was mostly traumatic in origin and a staphylococcus was cultured in 75% of cases. The organism was sensitive to cloxacillin and dicloxacillin in the majority of cases. Since 50% of these 39 cases were referred for amputation, the results were much better than expected. In fact, the excellent, very good, and good results equaled 93% of our cases. Two late recurrences were recently seen and treated, one 17 years and one 4 years after the initial treatment.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00265708
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