Barskiĭ A V, Semenov N P, Rogachev V N
Khirurgiia (Mosk). 1989 Aug(8):7-9.
The causes of chronic hematogenic and posttraumatic forms of osteomyelitis of the long tubular bones in 383 patients are analysed. Delayed diagnosis and irrational surgical treatment was the main cause of the development of chronic hematogenic osteomyelitis in 97 patients. The occurrence of chronic osteomyelitis after operative intervention in 84 patients with closed fractures was linked with violation of asepsis and the use of unstable and of poor quality metal fixation devices for osteosynthesis. Operative treatment of closed fractures should be undertaken only in specialized traumatic departments.
对383例长管状骨慢性血源性和创伤后骨髓炎的病因进行了分析。延迟诊断和不合理的手术治疗是97例慢性血源性骨髓炎发生发展的主要原因。84例闭合性骨折患者术后发生慢性骨髓炎与无菌操作的违反以及使用不稳定和质量差的金属内固定装置进行骨固定有关。闭合性骨折的手术治疗应仅在专业的创伤科室进行。
