Hemidiaphysectomy to control chronic osteomyelitis
Autor: | Rovere Gd, Mattern Ml |
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Rok vydání: | 1978 |
Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Bone Nails Osteotomy law.invention Intramedullary rod External fixation law Medicine Internal fixation Humans Femur business.industry Osteomyelitis General Medicine medicine.disease Foreign Bodies Surgery Fracture Fixation Intramedullary Diaphysis medicine.anatomical_structure Chronic Disease Nail (anatomy) business Femoral Fractures |
Zdroj: | Southern medical journal. 71(7) |
ISSN: | 0038-4348 |
Popis: | A retained Kuntscher nail in the left femur of a 34-year-old man was complicating the course of chronic, unremitting osteomyelitis. The nail was bent and could not be removed by routine methods. A hemidiaphysectomy of the femur allowed easy removal of the nail and radical curettage of the chronically infected intramedullary granulation tissue. The portion of the diaphysis removed at osteotomy was replaced without internal fixation. Postoperative external fixation was considered unnecessary because of the bulk of the femoral diaphysis secondary to the chronic sclerosis of osteomyelitis. Roentgenograms taken seven months after operation showed healing of the femur and no evidence of sequestration of the bone fragment. At 23 months' follow-up, the patient has no pain, no drainage, and no limitation of activities. Long-term follow-up is planned. |
Databáze: | OpenAIRE |
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