Osseous Residual Treatment In Patients With Chronic OsteomyelItis Of Long Tubular Bones Using Ozone
Alex B. Zaitsev
Research Institute of Traumatology and Orthopedics, Nizhny Novgorod, Russia.
We have treated 63 patients with lchronic osteomyelitis of long tubular bones. The purulent process was located on tibia - in 34 patients, on hip - in 29 patients. Posttraumatic osteomyelitis was diagnosed in 44 patients, haematogenous - in 14, gunshot - in 1, purulent complicated total hip joint arthroplasty - in 4. The surgical strategy consist of sequestra and implants removal, osteonecrosis resection, irrigation and external fixation by Ilizarov device or plaster bandage. Immediately after the patient awakened, suction drainage of residual osseous and soft tissues cavity by saline solution with ozone concentration of 2,0 - 3,0 mg/L was started. On the 2nd–3rd day the perfusate was cleared of blood, on the 7th day fibrin was not seen. By the end of the second week the solution and the perfusate did not differ visually. Average terms of drainage tube removal in control group (39 patients), were 24 days, in the sample - 17 days. Thus, using this procedure, in patients with purulent complications of lower limbs allowed to reduce the time of postoperative wound lavage and complete debridement by putting a suture. Local inflammatory reaction to drainage tube long-term stay in soft tissues was never found.
Source: 3rd International Symposia on Ozone Applications, June 2000.