Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Infections
Abstract number: 26481
SURGICAL TREATMENT OF CHRONIC OSTEOMYELITIS OF HUMERUS
Chingiz ALIZADEH, Zulfugar RZAYEV, Fuad GULIYEV, Guseyn ALIYEV, Farhad
ALIZADEH
Scientific Research Intitute of Traumatology and Orthopaedics, Baku (AZERBAIJAN)
Methods and Materials: We have examined and treated 54 patients with chronic
osteomyelitis of humerus (COH) of different aetiology. The age of patients was
between 5 and 75 year old. 9 of patients (16. 7%) had nonunions and
pseudoarthrosis. We have placed emphasis on 9 factors characterising the
pathologic site. We have managed to make charts of the pathologic site of COH.
Choice of operative intervention was based on combination of the above enumerated
factors. An optimal type of operation was used for each combination of factors. This
approach allows to standardize and optimise choice of operation.Altogether 65
operations have been performed. In patients with nonunions and pseudoarthrosis we
have used combined wire-rod external fixation devices. Results: 65% of patients had
primary wound healing. 6 patients (11.1%) were hospitalised with recurrences. Bone
integrity was totally recovered in all patients. In 98.4% patients the pyoinflammatory
process was terminated. Bone shortening from 3 till 5 cm was observed in 5 patients.
Arthrodesis of elbow joint was performed in 4 patients. Discussions: Choice of
operative intervention in patients with COH becomes much easier at standardization
of symptoms of the pathalogic site. In our opinion if a patient has nonunions of the
humerus use of combined wire-rod external fixation devices is necessary. When the
proximal part of humerus is damaged we prefer either partial resection or total
resection of humeral head without arthrodesis.Thus, arthrodesis of elbow joint in
patients with COH is performed more often than arthrodesis of shoulder joint.
312