Surgical treatment of chronic osteomyelitis

Surgical treatment of chronic osteomyelitis

Then there is window drainage, which is mainly to facilitate the outflow of secretions and prevent the spread of inflammation. It is suitable for patients with local bone damage and widened medullary cavity shadows during filming, but without obvious sinuses. The treatment of patients with chronic osteomyelitis should be based on surgical treatment. The principle is to remove dead bone, inflammatory granulation tissue and dead cavity. Patients with dead bone formation, dead cavity and sinus pus should undergo surgical treatment. If it is in the early stage, we can treat it with sufficient, full-course, combined and effective antibiotics.

What is the best way to treat osteomyelitis?

Osteomyelitis is a serious disabling disease, and the treatment method is as follows: early regular, adequate and combined application of antibiotics under the guidance of a doctor. If local symptoms are not significantly relieved after 2 to 3 days of antibiotic treatment, surgical treatment should be performed in time. After surgery, the wound should be continuously perfused and rinsed with a flushing fluid containing sensitive antibiotics. Osteomyelitis is clinically divided into two situations. The first is acute hematogenous osteomyelitis. This is a bone marrow infection caused by bacteria entering the blood. For this type of patient, the affected limb will have obvious symptoms of redness, swelling, heat and pain. The treatment of this disease depends first on the use of anti-inflammatory, antibiotics and the early use of large amounts of antibiotics to kill bacteria and relieve symptoms.

Effective drugs for treating osteomyelitis

Antibiotics must be administered parenterally for a course of 4 to 8 weeks. If the efficacy is poor or the bone damage is large, surgical debridement and drainage of paraspinal and epidural abscesses is required to prevent spinal injury and necrotic tissue. At the same time, broad-spectrum antibiotics should be used for skin and pedicled grafts and closed wounds. Debridement should continue with antibiotics for more than three weeks. The lesions should be completely removed, open cancellous bone, bone grafts, and repeated flushing. There are many drugs for the treatment of osteomyelitis. If the patient has severe local pain, non-steroidal anti-inflammatory analgesics such as ibuprofen, loxoprofen, diclofenac sodium, etc. can be selected. The most effective drug for the treatment of osteomyelitis is antibiotics, which can slowly recover symptoms.

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