Treatment of chronic osteomyelitis using the Papineau technique

被引:31
作者
Panda, M [1 ]
Ntungila, N [1 ]
Kalunda, M [1 ]
Hinsenkamp, M [1 ]
机构
[1] Clin Univ Kinshasa, Serv Orthoped Traumatol, Kinshasa 1, DEM REP CONGO
关键词
Wound Healing; Osteomyelitis; Bone Healing; Average Duration; Skin Grafting;
D O I
10.1007/s002640050204
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
From 1984 to 1994, 41 cases of chronic osteomyelitis were treated in Kinshasa by the Papineau technique; 75.5% were men and 24.5% women. The mean age was 28 years (range. 7-77), and the average duration of the infection was 3 years (range: 1 month to 28 years). The aetiology was "trauma" in 53.5%, haematogenous in 44% and drepanocytosis in 2.5%. Infections of the femur and tibia each constituted 41.5% of the cases. Immobilisation was by external fixation in 44%, and by a cast in 39%. Wound healing was complete after an average of 3 months with spontaneous healing, and in 4.5 months after skin grafting. Control of the infection and bone healing were obtained in 89% after a period of 3-7 months. We discuss the Papineau technique and the modifications which were required in Kinshasa.
引用
收藏
页码:37 / 40
页数:4
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