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The Belfast technique for the treatment of chronic osteomyelitis in a tropical teaching hospital

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Abstract

From September 1995 to August 2001, we treated 25 patients with chronic osteomyelitis of long bones by a two-stage technique. This consisted of the radical removal of all infected bone and soft tissue and immediate provision of soft-tissue cover. This was supplemented when necessary with delayed autogenous bone grafting. The average follow-up was 46 months (range: 19–80 months). One patient with haemoglobin sickle cell disease (HbSS) died after the second stage of surgery. There were four recurrences, one of which followed a myocutaneous flap that became necrotic. Ankylosis occurred in five patients.

Résumé

De septembre 1995 à août 2001 nous avons traité 25 malades avec une ostéomyélite chronique des os longs par une technique en deux temps, comprenant un nettoyage radical de l'os et des parties molles infectés avec les dispositions nécessaires pour assurer la couverture cutanée, et une greffe osseuse autologue retardée si nécessaire. Le suivi moyen était 46 mois (19–80 mois). Un patient porteur d'hémoglobine HbSS est mort après le deuxième temps chirurgical. Il y avait quatre récidives dont une suite à la nécrose d'un lambeau myocutané. L'anchylose s'est produite chez cinq malades.

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Authors and Affiliations

  1. Division of Orthopaedics and Trauma, Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria

    T. O. Alonge, S. O. Ogunlade & A. B. Omololu

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  1. T. O. Alonge
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  2. S. O. Ogunlade
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  3. A. B. Omololu
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Correspondence to T. O. Alonge.

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Alonge, T.O., Ogunlade, S.O. & Omololu, A.B. The Belfast technique for the treatment of chronic osteomyelitis in a tropical teaching hospital. International Orthopaedics (SICOT) 27, 125–128 (2003). https://doi.org/10.1007/s00264-002-0416-7

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  • DOI: https://doi.org/10.1007/s00264-002-0416-7

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