Postoperative bone defects’ reconstruction in patients with focal form of chronic post-traumatic osteomyelitis
Keywords:
Osteomyelitis, Osteonecrectomy, Bone Defects’ Reconstruction, Platelet-Rich Plasma, Resorbable Collagen MembraneAbstract
A prospective comparative analysis, i.e. the results of treatment of 68 patients, was carried out. The focal form of chronic post-traumatic osteomyelitis of the distal third of the tibia was focused. All patients were subjected to surgical debridement of the osteomyelitic focus on the variant of osteonecrectomy, followed by myoplastic reconstruction of the formed bone defect with chopped autologous muscle. In 30 patients, the traditional method of myoplastic reconstruction was used, and in 38 patients, the improved one. We added autologous Platelet-Rich Plasma (hereinafter - PRP) to the muscle graft before placing it into the bone defect. After filling in the defect, we sutured a Resorbable Collagen Membrane (hereinafter - RCM) to its edges in order to seal the defect and additionally fix the muscle graft. The dynamics of changes in the structure and the rate of fixation of the muscle graft to the walls of the bone cavity, the duration of the local inflammatory response, the duration of hospitalization, short-term outcomes, and long-term results of treatment in the comparison groups were evaluated.
Downloads
References
Wu, Z. Q., Zeng, D. L., Yao, J. L., Bian, Y. Y., Gu, Y. T., Meng, Z. L., Fu, J., & Peng, L. (2019). Research Progress on Diagnosis and Treatment of Chronic Osteomyelitis. Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih, 34(3), 211–220. https://doi.org/10.24920/003493.
Maffulli, N., Papalia, R., Zampogna, B., Torre, G., Albo, E., & Denaro, V. (2016). The management of osteomyelitis in the adult. The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 14(6), 345–360. https://doi.org/10.1016/j.surge.2015.12.005.
Rivas Felice, J., González Herranz, P., Mejía Casado, A., Pérez Navarro, R., & Hernández Díaz, R. (2017). Chronic recurrent osteomyelitis: A diagnostic and therapeutic challenge. Osteomielitis crónica recurrente: un reto diagnóstico y terapéutico. Revista espanola de cirugia ortopedica y traumatologia, 61(1), 35–42. https://doi.org/10.1016/j.recot.2016.07.004.
Santosh, A. B., & Ogle, O. E. (2017). Clinical Microbiology for the General Dentist. Dental clinics of North America, 61(2), xv–xvii. https://doi.org/10.1016/j.cden.2017.01.001.
Mandell, J. C., Khurana, B., Smith, J. T., Czuczman, G. J., Ghazikhanian, V., & Smith, S. E. (2018). Osteomyelitis of the lower extremity: pathophysiology, imaging, and classification, with an emphasis on diabetic foot infection. Emergency radiology, 25(2), 175–188. https://doi.org/10.1007/s10140-017-1564-9.
Hung, D. Z., Tien, N., Lin, C. L., Lee, Y. R., Wang, C. C., Chen, J. J., & Lim, Y. P. (2017). Increased risk of chronic osteomyelitis after hip replacement: a retrospective population-based cohort study in an Asian population. European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 36(4), 611–617. https://doi.org/10.1007/s10096-016-2836-0.
Bensman, V. M., Savchenko, Y. P., & Malyshko, V. V. (2021). Anterior prompt for debridement and myoplasty femoral neck and head osteomyelitis. Wounds and Wound Infections. The Prof. B.M. Kostyuchenok Journal, 8(2), 34–40. https://doi.org/10.25199/2408-9613-2021-8-2-34-40.
Kovar, A., Colakoglu, S., & Iorio, M. L. (2020). Choosing between Muscle and Fasciocutaneous Free Flap Reconstruction in the Treatment of Lower Extremity Osteomyelitis: Available Evidence for a Function-Specific Approach. Journal of reconstructive microsurgery, 36(3), 197–203. https://doi.org/10.1055/s-0039-1698469.
Hofstee, M. I., Muthukrishnan, G., Atkins, G. J., Riool, M., Thompson, K., Morgenstern, M., Stoddart, M. J., Richards, R. G., Zaat, S., & Moriarty, T. F. (2020). Current Concepts of Osteomyelitis: From Pathologic Mechanisms to Advanced Research Methods. The American journal of pathology, 190(6), 1151–1163. https://doi.org/10.1016/j.ajpath.2020.02.007.
Le, A., Enweze, L., DeBaun, M. R., & Dragoo, J. L. (2019). Platelet-Rich Plasma. Clinics in sports medicine, 38(1), 17–44. https://doi.org/10.1016/j.csm.2018.08.001.
Foster, A. L., Moriarty, T. F., Trampuz, A., Jaiprakash, A., Burch, M. A., Crawford, R., Paterson, D. L., Metsemakers, W. J., Schuetz, M., & Richards, R. G. (2020). Fracture-related infection: current methods for prevention and treatment. Expert review of anti-infective therapy, 18(4), 307–321. https://doi.org/10.1080/14787210.2020.1729740.
Egawa, S., Hirai, K., Matsumoto, R., Yoshii, T., Yuasa, M., Okawa, A., Sugo, K., & Sotome, S. (2020). Efficacy of Antibiotic-Loaded Hydroxyapatite/Collagen Composites Is Dependent on Adsorbability for Treating Staphylococcus aureus Osteomyelitis in Rats. Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 38(4), 843–851. https://doi.org/10.1002/jor.24507.
Everts, P., Onishi, K., Jayaram, P., Lana, J. F., & Mautner, K. (2020). Platelet-Rich Plasma: New Performance Understandings and Therapeutic Considerations in 2020. International journal of molecular sciences, 21(20), 7794. https://doi.org/10.3390/ijms21207794.
Lang, S., Loibl, M., & Herrmann, M. (2018). Platelet-Rich Plasma in Tissue Engineering: Hype and Hope. European surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes, 59(3-4), 265–275. https://doi.org/10.1159/000492415.
Wessing, B., Lettner, S., & Zechner, W. (2018). Guided Bone Regeneration with Collagen Membranes and Particulate Graft Materials: A Systematic Review and Meta-Analysis. The International journal of oral & maxillofacial implants, 33(1), 87–100. https://doi.org/10.11607/jomi.5461.
Sbricoli, L., Guazzo, R., Annunziata, M., Gobbato, L., Bressan, E., & Nastri, L. (2020). Selection of Collagen Membranes for Bone Regeneration: A Literature Review. Materials (Basel, Switzerland), 13(3), 786. https://doi.org/10.3390/ma13030786.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
