Opportunities for differential application of different technologies of bone restoration in patients with chronic osteomyelitis
The results of treatment of 197 patients with chronic osteomyelitis were assessed. The patients have undergone autologous bone grafting, Osteoset Т grafting and their combination. Three examination groups were established. First group included 94 patients (47,7%) with bone cavity filled by autogenous bone. Second group included 61 patients (31%), these patients have received Osteoset Т during the operation. 42 (21,3%) cases (third group) have undergone combined bone grafting using both own tissues and Osteoset T preparation. Thus, in 19 (9,6 %) patients Osteoset Т grafting was applied with autologous bone grafting, and in 23 (11,7 %) cases application of this preparation was carried out with autologous muscle graft ing. Good results were achieved in 89,8% of patients after bone grafting; in case of Osteoset Т grafting — in 86,9 % patients, in case of combined grafting — in 85,3% cases. The developed differential application of various kinds of osteoplasty and osteomuscular plasty helps to carry out interventions with minimal risk of disease relapse in these patients.