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[Chronic osteomyelitis: open excision and grafting after saucerization (author's transl)].

Authors
  • Papineau, L J
  • Alfageme, A
  • Dalcourt, J P
  • Pilon, L
Type
Published Article
Journal
International orthopaedics
Publication Date
Jan 01, 1979
Volume
3
Issue
3
Pages
165–176
Identifiers
PMID: 393639
Source
Medline
License
Unknown

Abstract

From January 1960 to January 1974, 180 cases of chronic osteomyelitis were treated by the same surgeon in the infection unit of Notre-Dame Hospital in Montreal. Of these cases, 71.4% were treated by saucerization, followed by secondary closure or by skin grafting. In ten cases (5.4%) the limb was amputated. However, in 39 cases two similar techniques of open excision and grafting were used. The infection was mostly traumatic in origin and a staphylococcus was cultured in 75% of cases. The organism was sensitive to cloxacillin and dicloxacillin in the majority of cases. Since 50% of these 39 cases were referred for amputation, the results were much betts. Two late recurrences were recently seen and treated, one 17 years and one 4 years after the initial treatment.

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