Rinse with pulse-type chain beads of bone cement treatment of chronic osteomyelitis of long bone.docVIP

 PAGE \* MERGEFORMAT 10 Rinse with pulse-type chain beads of bone cement treatment of chronic osteomyelitis of long bone Of: Zhang Yuerong, Yin Yi Ran, GE Jian-hua, Yang Yong, Loredo Ming, Lu Xiaobo [Abstract] Objective To investigate the pulse-type washing combined with local application of vancomycin calcium phosphate cement (CPC) treatment of long bone bead chain the clinical efficacy of chronic osteomyelitis. Methods February 2005 ~ August 2008, debridement iodine recovery after soaking Pulse-type repeated saline washing, and then vancomycin local application of bone cement bead chain 30 cases of chronic osteomyelitis (19 cases of femur, tibia 11 cases), follow-up clinical results. Results 30 patients were followed up for 10 ~ 24 months, an average of 11.5 months. Except for 1 case followed up for 11 months died in a car accident, excellent results in 27 cases, 2 cases of recurrence, the second cured after surgery. Conclusion iodine complex vein-type washing with salt water immersion topical vancomycin calcium phosphate treatment of long bone cement bead chain treatment of chronic osteomyelitis of long bone chronic osteomyelitis is simple, safe and effective, can be used as a means of treatment of chronic osteomyelitis. [Keywords:] pulse flushing; vancomycin; calcium phosphate; bone cement bead chain There is often due to chronic osteomyelitis, sequestrum, dead space, and scar tissue, the local lack of blood supply to the systemic application of antibiotics is difficult to achieve effective suppression in the local bactericidal concentration, easy to produce drug resistance, so that conventional treatment ineffective. But the pulse-type washing with pressure acceleration and deceleration characteristics, easy to make dead space remaining necrotic tissue infections have been cleared loose easily. antibiotic delivery system with a high concentration of topical antibiotics, systemic side effects of small, slow release, long duration, short hospital