Summary
Fifty cases of chronic osteomyelitis were treated by closed, continuous, suction and irrigation and followed up for between six months and eight years. In group A, 25 cases were treated by irrigation with antibiotics, and in group B, 25 cases were treated by irrigation with Bitadine solution, irrespective of the culture and sensitivity reports. Appropriate antibiotics were given systemically. There was no notable difference in the results in the two groups, with an overall success rate of about 80%.
Résumé
Cinquante cas d'ostéomyélite chronique ont été traités par irrigation continue de 1977 à 1984 et suivis de 6 mois à 8 ans. Dans le groupe A, 25 cas ont été traités par irrigation continue avec antibiotiques, et dans le groupe B, 25 cas ont été traités de même mais avec une solution de Bétadine, sans tenir compte des résultats des examens bactériologiques. Les antibiotiques appropriés ont été administrés par voie générale. Avec un pourcentage global de succès d'environ 80%, il n'y a pas de différence notable entre les résultats des deux groupes.
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References
Clawson DK, Davis FJ, Hansen ST (1973) Treatment of chronic osteomyelitis with emphasis on closed suction-irrigation technic. Clin Orthop 96: 88–97
Compere EL (1962) Treatment of osteomyelitis and infected would by closed irrigation with a detergent-antibiotic solution. Acta Orthop Scand 32: 324
Compere EL, Metzger WL, Mitra RN (1967) The treatment of pyogenic bone and joint infection by closed irrigation (circulation) with non toxic detergent and one or more antibiotic solution. J Bone Jt Surg 49-A: 614–624
Dombrowski ET, Dunn AW (1965) Treatment of osteomyelitis by debridement and closed wound irrigation suction. Clin Orthop 43: 215–231
Evrard J (1968) Irrigation continue d' antibiotiques dans les lésions infectées des membres: osteites et arthrites. Ann Chir 22: 365–374
Goldman MA, Johnson RK, Grossberg NM (1960) A new approach to chronic osteomyelitis. Am J Orthop 2: 63–65
Grace EJ, Bryson V (1945) Tropical use of concentrated penicillin in surface active solution. Arch Sug 50: 219–222
Kelly PJ, Matin WJ, Coventry MM (1970) Chronic osteomyelitis, treatment with closed irrigation and suction. J Am Med Assoc 213: 1843–1848
McElvenny RT (1961) The use of closed circulation and suction in treatment of chronically infected, actually infected and potentially infected wounds. Am J Orthop 3: 86–87, 154–160
Mitra RN, Grace EJ (1957) Further studies on treatment of chronic osteomyelitis with tropical detergent antibiotic therapy. Medical Encyclopedia Inc., New York, pp 455–466
Nanaria VK, Inamdar VS, Ohri SK (1977) Role of continuous irrigation and negative suction in the treatment of chronic osteomyelitis. Symposium on Osteomyelitis, vol I. Mitra, Calcutta
Rao PT, Sahu P (1978) Irrigation suction technique in osteomyelitis. Indian J Orthop 12: 180
Smith Peterson MN, Larson CB, Cochran W (1945) Local chemotherapy with primary closure of septic wounds by means of drainage and irrigation cannulae. J Bone Jt Surg 27: 562–571
Willeneger H, Roth W (1962) The antibacterial irrigation drainage of surgical infections. Dtsch Med Wochenschr 87: 1485
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Bansal, V.P., Harmit, S. Management of chronic osteomyelitis using an irrigation suction technique. International Orthopaedics 12, 265–268 (1988). https://doi.org/10.1007/BF00317821
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DOI: https://doi.org/10.1007/BF00317821