Клинико-статистическая и рентгенологическая характеристика больных хроническим остеомиелитом длинных трубчатых костей, лечившихся в Центре гнойной остеологии ФГБУ «РНЦ «ВТО» им акад. Г. А. Илизарова»

Purpose. To analyze the clinical-and-radiological data, causes and location of inflammation focus in patients with chronic osteomyelitis of long tubular bones. Material and methods. The authors studied the case records of 165 subjects at the age of 20-70 years. All the patients underwent polypositional radiography, multislice computed tomography (MSCT). The patients operated on in the Center’s departments of pyogenic osteology. Results. The studies demonstrated the pathology prevailing in the male subjects at the age of 40-60 years with leg injury consequences. The disease developed after the lower limb injuries which mainly occurred under living conditions, or it developed after the performed surgical treatment at the place of residence. The preoperative information by MSCT technique was comprehensive and identified the location of pyo-necrotic focus, destruction character, the extension and scope of bone tissue involvement thereby making it possible to choose the most optimal surgical intervention, as well as to obtain more effective results of restorative treatment with fewer complications and in shorter time periods. Conclusion. The taken studies made it possible to use the obtained data as criteria allowing to choose the most optimal surgical intervention, to control rehabilitation measures, to judge the effectiveness of the performed treatment.