TREATMENT OF THE CRONIC WAR TIBIAL OSTEOMYELITIS, SUTILIO TYPE IIIB AND CIERNY MADER IIIB

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Method of work: During the Bosnian (1992-1995), 2,195 wounded people underwent primary surgical treatment for their wounded extremities. Tibia wounds were dominant in 695 (31.66%) of the cases, and 59 (8.48%) of which developed chronic osteomyelitis. The Gustilo’s Classification score was IIIB and the Cierny-Mader’s Classification score was IIIB. The average age of the patients was 38.2 years, sex representation: 57 (97%) males and 2 (3%) females. Cause of fracture: bullets 18 (31%), shell pieces 39 (66%), and combined 2 (3%), with polytrauma in 31 (52.54%). The most dominant infective agent was Staphylococcus aureus 31 (52%). We used Papineau’s method in 5 (8.50%), sequestration in 28 (47.45%), fenestration and sequestration in 17 (29%), only Forage of the tibia in 3 (5%), and decortication and resection in 6 (10%). We used the instantaneous vacuum for 36 (61%) patients. The aim of this work is to evaluate some perceptions in the therapy of the chronic fistulous war osteomyelitis tibia in a decade-long work. The study is retrospective and analyzes the use of surgical methods in the treatment of chronic osteomyelitis tibia caused by the high kinetic energy projectiles.
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