Amiraslanov Iu A, Svetukhin A M, Karlov V A, Matasov V M, Iakomi V V, Mitish V A
Khirurgiia (Mosk). 1990 Dec(12):85-9.
The principles of active surgical treatment of purulent wounds made it possible to perform reconstructive operations on 5,422 patients with large purulent wounds and tissue defects. In 3,887 patients the wounds were closed with sutures and drained, in 1,535 patients the wound surfaces were closed and tissue defects repaired by various methods of cutaneo- and osteoplasty, in 1,261 of these patients free skin graft was carried out. In 274 patients wounds in the region of important anatomical structures and functionally active surfaces were closed by transposed vascularized tissues with good cosmetic and functional results. Defects in long tubular bones were repaired in 107 patients in the early stages by variants of compression--distraction osteosynthesis. Healing by first intention occurred in 89.8% of cases in which the wounds were closed with sutures and in 91.9% in plastics with local tissues and transposed grafts. After free skin graft plastics had to be repeated until complete healing in 11.1% of patients. The defects in bones were replaced in all cases, osteomyelitis developed at the site of pin introduction in 4% of cases.
化脓性伤口积极手术治疗的原则使得对5422例有大面积化脓性伤口和组织缺损的患者进行重建手术成为可能。3887例患者的伤口通过缝合关闭并引流，1535例患者的创面通过各种皮肤和骨成形术方法关闭并修复组织缺损，其中1261例患者进行了游离皮肤移植。274例患者重要解剖结构和功能活跃表面区域的伤口通过带血管组织移位关闭，获得了良好的美容和功能效果。107例患者早期通过加压-撑开骨合成的变体修复长管状骨缺损。伤口通过缝合关闭的病例中一期愈合率为89.8%，局部组织和移位移植整形的病例中一期愈合率为91.9%。11.1%的患者在游离皮肤移植整形后必须反复进行直至完全愈合。所有病例中的骨缺损均得到修复，4%的病例在钢针置入部位发生骨髓炎。
