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Chronic non-hematogenous osteomyelitis: pathogenesis, clinical presentation, diagnosis, and treatment

https://doi.org/10.51922/2074-5044.2026.4.83

Abstract

The treatment of chronic hematogenous osteomyelitis must be comprehensive and tailored to the stage of the disease process. During the acute exacerbation phase, radical surgical debridement is performed to remove all non-viable tissue, sequestra, pus, and pathological granulation tissue. An active continuous-flow irrigation drainage system is established to ensure the constant removal of pus and the administration of antiseptics. Stable fixation of bone fragments is achieved using external fixation devices.

About the Authors

S. A. Alekseev
Educational Institution «Belarusian State Medical University»
Belarus

Minsk



V. S. Derkachev
Educational Institution «Belarusian State Medical University»
Belarus

Minsk



D. S. Alekseev
Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology
Belarus

Minsk



D. V. Derkachev
I. I. Dzhanelidze St. Petersburg Research Institute of Emergency Medicine
Russian Federation

St. Petersburg



E. V. Derkacheva
St. Petersburg State University
Russian Federation

St. Petersburg



N. Ya. Kondubov
Order of the Red Star Main Military Clinical Medical Center of the Armed Forces of the Republic of Belarus
Belarus

Minsk



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For citations:


Alekseev S.A., Derkachev V.S., Alekseev D.S., Derkachev D.V., Derkacheva E.V., Kondubov N.Ya. Chronic non-hematogenous osteomyelitis: pathogenesis, clinical presentation, diagnosis, and treatment. Military Medicine. 2026;(4):83-87. (In Russ.) https://doi.org/10.51922/2074-5044.2026.4.83

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