[Complex method of treatment of chronic osteomyelitis].
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Biomedical subjects
Publications and source records attributed to E M Gamidov.
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The authors have elaborated the complex of prophylactic measures against suppuration in treatment of open bone fractures, a special attention being given to the use of specific and nonspecific antistaphylococcic drugs: antibiotics of a wide spectrum of action, adsorbed staphylococcic anatoxin and staphyloccic polyvalent bacteriophage. Therapeutic measures and the results of their utilization are described.
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Osteocyst is shown to be the resulting issue of a number of pathological processes in bones, its etiology could be determined only if tissues typical for some lesions are revealed in cystic walls. At the CITO department of bone pathology for adults the author observed 49 patients having cysts of the proximal femoral portion. Pathological fractures were noted in 16 of 49 patients. It is the author's opinion that a carefully selected anamnesis and clinico-roentgenological investigation are of great importance in establishing the diagnosis of an isolated osteocyst. The differential diagnosis is made between this lesion and tumors, inflammatory process, Recklinghausen disease, etc. All patients under investigation were treated surgically. The results of treatment are described.
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According to the authors' data the literature offers only single reports concerning the problem of albuminose osteomyelitis. The authors observed 7 patients including 5 children. There were 5 male patients and 2--females. In 6 cases the pathological process involved the left femur, in 1--the right. The main symptoms of the disease were as follows: pains, the presence of tumescence, extended network of subcutaneous veins, local rise of temperature, an impaired function of the involved extremity. Roentgenologically, thickening of the periosteum was found in 5 cases, localized foci in the medullary cavity of the metaphysis--in 2 cases. There was noted an increased activity of alkaline phosphatase, elevation in the level of sialo acid, leucocytosis, increased sedimentation rate, large amount of protein in the exudate (by 31% on an average). In 5 patients wide incisions till the bone with subsequent drainage were made, tumescence was punctured in 2 patients (2--3 times), a plaster dressing was applied, patients were given a diet rich in protein and vitamins, and also physical therapy. The immediate and late results have been studied in all patients followed up for the period from 4 months to 5 years. There were noted no cases of recurrence.
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