OSTEOMYELITIS AFTER OSTEOSYNTHESIS USING OF METAL IN PATIENTS WITH CLOSED FRACTURES OF TUBULAR BONES

Autor: R. A. Kryuchkov, M. S. Kunafin, S. N. Khunafin
Jazyk: English<br />Russian
Rok vydání: 2017
Předmět:
Zdroj: Креативная хирургия и онкология, Vol 0, Iss 4, Pp 62-64 (2017)
Druh dokumentu: article
ISSN: 2307-0501
2076-3093
DOI: 10.24060/2076-3093-2013-0-4-62-64
Popis: In connection with the expansion of indications for osteosynthesis with the use of metal, the surgical treatment of closed fractures of the bones, increases the frequency of postoperative osteomyelitis. We analyzed the results of treatment of 102 patients with postoperative osteomyelitis treated at City Clinical Hospital number 18 in 2008-2011.We investigated laboratory parameters (levels of procalcitonin, C-reactive protein and leukocyte index of intoxication) in 25 patients undergoing osteosynthesis using metal structures in closed fractures of tubular bones. After osteosynthesis using metal structures in closed fractures of tubular bones in 3,2% of cases developed postoperative osteomyelitis. The changes in laboratory parameters in 16 (64%) patients, in other cases results were within normal limits. Study of the levels of procalcitonin, C-reactive protein and leukocyte index of intoxication do not have significant practical value for predicting postoperative osteomyelitis.
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