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. AlekseevBelarus
Minsk
V. S. Derkachev
Belarus
Minsk
D. S. Alekseev
Belarus
Minsk
D. V. Derkachev
Russian Federation
St. Petersburg
E. V. Derkacheva
Russian Federation
St. Petersburg
N. Ya. Kondubov
Belarus
Minsk
References
1. Garaev, M. R. Hirurgicheskoe lechenie hronicheskogo osteomielita / M. R. Garaev, V. S. Panteleev, M. A. Nartajla- kov. // Kreativnaya hirurgiya i onkologiya. – 2019. – T. 9, № 3. – S. 139–144.
2. Ciskarashvili, A. V. Korrekciya narushennogo metabolizma kostnoj tkani – sostavlyayushchaya kompleksnoj terapii hronicheskogo posttravmaticheskogo osteomielita dlinnyh kostej / A. V. Ciskarashvili, A. Yu. Taraskin, D. S. Gorbatyuk // Izvestiya vuzov. Povolzhskij region. Medicinskie nauki. – 2022. – № 1 (61). – S. 12–25.
3. Krivenko, S. N. Reabilitacionno-vosstanovitel’noe lechenie pacientov s travmaticheskim osteomielitom / S. N. Krivenko // Genij ortopedii. – 2017. – № 1. – S. 16–25.
4. Saginova, D. A. Saginova D. A. Lokal’noe ispol’zovanie biodegradiruemyh materialov v lechenii hronicheskogo osteomielita / D. A. Saginova // Vestnik KazNMU. – 2018. – № 1. – S. 199–204.
5. Mashchenko, I. S. Effektivnost’ Helbo – terapii v profilaktike i lechenii posttravmaticheskogo osteomielita u bol’nyh s perelomami nizhnej chelyusti / I. S. Mashchenko, A. A. Gudar’yan, N. G. Idashkina // Vestnik stomatologii. – 2014. – № 3 (88). – S. 70–75.
6. Polkovnikova, S. A. Sencha A. N., Belyaev D. V. Klinicheskaya i ul’trazvukovaya kartina mnozhestvennogo osteomielita pri septiko-piemicheskoj forme zabolevaniya u detej / S. A. Polkovnikova, V. D. Zavadovskaya, A. P. Kurazhov // Byulleten’ sibirskoj mediciny. – 2015. – № 14 (4). – S. 46–53.
7. Saginova, D. A. Operativnoe lechenie hronicheskogo posttravmaticheskogo osteomielita s primeneniem impregnirovannogo antibiotikom biodegradiruemogo materiala : Dissertaciya na soiskanie stepeni doktora filosofii (PhD) : 6D110100 / Saginova Dina Azimovna ; Karagandinskij gosu darstvennyj medicinskij universitet. – Karagandy, 2018. – 108 s.
8. Gostishchev, V. K. Obshchaya hirurgiya: uchebnik / V. K. Gostishchev – 5 e izd., pererab. i dop. – M. : GEOTARMedia, 2013. – 728 s. : il.
9. Krochek, I. V. Primenenie vysokoenergeticheskogo lazernogo izlucheniya pri lechenii hronicheskih form osteomielita / I. V. Krochek, V. A. Privalov, A. V. Lappa i dr. // Al’manah klinicheskoj mediciny. – 2008. – № 17 (2). – S. 211–214.
10. Zavadovskaya, V. D. Osnovy luchevoj diagnostiki zabolevanij oporno-dvigatel’nogo apparata : uchebnoe posobie dlya studentov / V. D. Zavadovskaya. – Tomsk : Izd-vo SibGMU, 2016. – 94 s.
11. Worlock, P. The prevention of infection in open fractures. An experimental study of the effect of antibiotic thera- py / P. Worlock, R. Slack, L. Harvey [et al.] // Injury. – 1994. – Vol. 25, № 1. – P. 31–38.
12. Krcméry, V. Jr. Use of fluoroquinolone chemotherapy in orthopedics and traumatology / V. Jr. Krcméry // Acta Chir Orthop Traumatol Cech. – 1991. – Vol. 58, № 1. – P. 37–46.
13. Mehta, D. D., Leucht P. Prevention and treatment of osteomyelitis after open tibia fractures / D. D. Mehta, P. Leucht // OTA International. – 2024. – Vol. 7, № 4. – P. 307–309.
14. Jagosz, M. Reconstructive Strategies in Post-Traumatic Osteomyelitis of the Lower Limb: A Case Series and Surgical Algorithm Analysis / M. Jagosz, P. Wegrzyn, M. Checinski [et al.] // J Clin Med. – 2025. – Vol. 14, № 19. – P. 67–82.
15. Ocaña Arguello, N. D. Infecciones osteoarticulares postraumáticas en extremidades: abordaje quirúrgico y manejo antimicrobiano / N. D. Ocaña Arguello., G. M. León Eras, F. A. Loaiza Castro [et al.] // Ciencias de la Salud.
Review
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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