Sulo I
Service d'Orthopédie septique, Hôpital n. 2, Tirana, Albanie.
Rev Chir Orthop Reparatrice Appar Mot. 1993;79(4):299-305.
The authors have used gentamycin impregnated plaster beads in the treatment of 409 chronic osteomyelitis. This technic was associated with large surgical excisions of the septic area, stabilization of the focus and coverage using flaps. About 95 per cent of the patients were cured after a 37 month average follow-up. About 4 per cent were failures with recurrence of drainage. Complete filling of the bone loss was obtained in 42 per cent of the cases. In 16 per cent it was less than one third of the bone loss. It is concluded that this technique allowing an immediate filling of the bone loss using a resorbable material and leading to high antibiotic concentrations is reliable.