Vatagin S A
Khirurgiia (Mosk). 1996(6):87-9.
The article describes a method for treatment of osteomyelitic bone cavities with predominant location in the distal part of the tibia and foot bones which are under unfavorable muscular protection. It comprises one-stage sequestrectomy and plastic correction for repair of the cleansed bone cavity with a free full-thickness autodermal graft and application of a complete suture to the skin wound over the cavity. A principally new feature of the method is application of the graft to freshly-treated walls of the bone cavity. A favorable local effect of the autodermal graft on the bone cavity is noted: hemostatic, substitutional, and reparative. The method was used with a favorable outcome in operations on 10 patients of 21 to 70 years of age. The osteomyelitic focus was located in the femur (2 cases), tibia (6) and calcaneus (2).
本文描述了一种治疗骨髓炎骨腔的方法，这些骨腔主要位于胫骨远端和足部骨骼，且肌肉保护条件不佳。该方法包括一期死骨切除术和整形矫正，用游离全厚自体皮片修复清理后的骨腔，并对骨腔上方的皮肤伤口进行全层缝合。该方法的一个主要新特点是将皮片应用于刚处理过的骨腔壁。自体皮片对骨腔有良好的局部作用：止血、替代和修复作用。该方法用于21至70岁的10例患者手术，效果良好。骨髓炎病灶位于股骨（2例）、胫骨（6例）和跟骨（2例）。
