Treatment of Chronic Recurrent Hematogenous Osteomyelitis

The results of surgical treatment of 180 patients with chronic recurrent osteomyelitis of the tube bones have been analyzed. The results of clinical – laboratory investigations including immunologic and morphological examinations have been presented and also the role of computer tomography in the diagnostic of intraosteal pathology has been proved. Patients were divided into 2 groups, the first one has got traditional surgical treatment and the second one has got surgical treatment due to elaborated method. The proposed tactic of surgical treatment consists in careful exfoliation of the periosteum from the bone, longitudinal osteotomy, sequesternecroectomy with full restoration of the structure of the bone-marrow canal along the whole length, lavage and ultrasound cavitation with antiseptic solution. The performed surgical tactic secured the most radical sanation of the osteomyelitic foci and improved the treatment results of this severe pathology.