The use of multiresonance therapy for chronic osteomyelitis in adults
AUTHORS : Leskin G.S. | Gotovsky Yu.V. | Chilingirov R.Kh. | Eremin A.V. | Saravanan S.V. | Abaeva L. F.
RELEVANT UNIVERSITIES : MONIKI named after M.F. Vladimirsky, Center “IMEDIS”, Moscow, Russia
YEAR : 2004 | Category : Type of Application
If in the acute stage of hematogenous and post-traumatic or postoperative osteomyelitis (OM) there are significant pathogenetic differences depending on the primary or secondary development of bone necrosis and purulent infection (which gives reason to consider hematogenous OM as purulent-necrotic, and post-traumatic OM as necroticpurulent), then in the late stage of chronic OM these differences are leveled, and the nature of the process is determined by the development sequestration of bone tissue, the presence of purulent cavities, the spread of a purulent inflammatory process in the surrounding soft tissues, the formation of fistulous passages.
It is these factors that contribute to the preservation of purulent foci, despite repeated surgical interventions and courses antibiotic therapy, and are the main cause of the recurrent course of chronic OM. A special group is made up of patients with postoperative chronic OM developing after arthroplasty of large joints with severe degenerative lesions (more often of the hip).