milmedВоенная медицинаMilitary Medicine2074-5044Белорусский государственный медицинский университетmilmed-585Research ArticleОРИГИНАЛЬНЫЕ НАУЧНЫЕ ПУБЛИКАЦИИ. Лечебно-профилактические вопросыORIGINAL SCIENTIFIC PUBLICATIONS. Medical and preventive questionsЛечение инфекционных осложнений после остеосинтеза длинных трубчатых костей нижних конечностейTreatment of infectious complications after osteosynthesis of long tubular bones of lower extremitiesВолотовскийП. А.VolotovskiP. A.

г. Минск

СитникА. А.SitnikA. A.

г. Минск

БелецкийА. В.BeletskyA. V.

г. Минск

ГУ «Республиканский научно-практический центр травматологии и ортопедии»Belarus201822102026032127Copyright © Волотовский П.А., Ситник А.А., Белецкий А.В., 20262026Волотовский П.А., Ситник А.А., Белецкий А.В.Volotovski P.A., Sitnik A.A., Beletsky A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://milmed.ejournal.by/jour/article/view/585

Целью лечения пациентов с инфекционными осложнениями после остеосинтеза является достижение консолидации перелома и предотвращение развития хронического остеомиелита. Для успешного результата необходимы адекватные хирургические вмешательства в сочетании с 6–12 неделями антимикробной терапии, действующей на микроорганизмы-возбудители. При хроническом остеомиелите ортопедические и пластические реконструктивные операции должны сочетаться и дополнять друг друга. В этой статье рассматриваются вопросы лечения инфекций, связанных с интрамедуллярным и накостным остеосинтезом длинных трубчатых костей.

In infections after fracture fixation, treatment goal is to achieve bone consolidation and avoid chronic osteomyelitis. Successful result requires adequate surgical procedures combined with 6 to 12 weeks of antibiotic therapy acting on microorganisms. In chronic osteomyelitis, orthopedic and plastic reconstructive surgical procedures should be combined in same procedure or within a short time span. In this article treatment of infections associated with intramedullary nails plates, and screws are described.

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The authors declare that there are no conflicts of interest present.