The Treatment of Infected Bone after Fracture

概要

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We had opportunities to treat six patients with osteomyelitis complicated after open fractures or reduction of an closed fracture. The infection of bone was extremely resiistant to treatment, so the following points were most important and effective: (1) complete curratage including the removal of dead bone and hard wear from the infected bone, (2) continous irrigation with antibiotics and (3) closing the open wound with skin flap.The treatment of delayed union or non-union was necessary in five cases. The extra-skeletal fixation or intramedullary nailing of bone was applied after the complete control of the infection.As the result of our treatment, two patients were freed from infection: one needed 3 years and another 5 years, two patients were not completely controlled within 1 year, one patient was amputated and one died from another disease.
西日本整形・災害外科学会の論文