DOI: https://doi.org/10.22263/2312-4156.2022.3.102
V.P. Bulavkin1, S.D. Fedzianin1, E.A. Matusevich2, V.V. Zuzenko2, O.F. Sidarenka2, Y.S. Ladzik2
The treatment of osteomyelitis of the calcaneus with the use of automyelo-fibrinous-platelet clot
1Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
2Vitebsk Regional Clinical Hospital, Vitebsk, Republic of Belarus
Vestnik VGMU. 2022;21(3):102-107.
Abstract.
Osteomyelitis of the calcaneus is a complex disease that is difficult to treat, as it is based on a lesion of the spongy bone, that is poorly capable of regeneration, especially in the purulent-inflammatory process. There are also a number of factors that aggravate the course of the disease: impaired blood supply, in particular obliterating atherosclerosis of the lower extremities, decreased body reactivity and the presence of diabetes mellitus. Currently, the treatment of osteomyelitis is complex. The key role is played by radical surgical treatment aimed at eliminating the purulent focus with subsequent replacement of the defect with a patient’s own tissues or artificial materials. This clinical observation presents a comprehensive approach to the treatment of calcaneal osteomyelitis, which includes sanitation of the osteomyelitis focus, grafting of a bone tissue defect with an automyelo-fibrinous-platelet clot and wound vacuum therapy using the first domestic device Impulse KM-1. As a result of the provided treatment, a positive clinical result has been achieved.
Keywords: post-traumatic osteomyelitis, calcaneus, purulent wound, bone grafting, automyelo-fibrinous-platelet clot, vacuum therapy.
Funding: The research was conducted within the frames of the theme task “To elaborate the method of wound healing stimulation” of the State Research Programs (GPNI) of the Republic of Belarus (№ GR 20200229 of February 24, 2020).
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Information about authors:
V.P. Bulavkin – Candidate of Medical Sciences, associate professor of the Chair of Hospital Surgery with the course of the Faculty for Advanced Training and Retraining, Vitebsk State Order of Peoples’ Friendship Medical University, head of the Republican Scientific and Practical Center “Infection in Surgery”;
S.D. Fedzianin – Candidate of Medical Sciences, associate professor of the Chair of Hospital Surgery with the course of the Faculty for Advanced Training and Retraining, Vitebsk State Order of Peoples’ Friendship Medical University,
E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Sergey D. Fedzianin;
E.A. Matusevich – Candidate of Medical Sciences, chief physician, Vitebsk Regional Clinical Hospital;
V.V. Zuzenko – surgeon of the purulent surgery department, Vitebsk Regional Clinical Hospital;
O.F. Sidarenka – doctor of clinical laboratory diagnostics, Vitebsk Regional Clinical Hospital;
Y.S. Ladzik – intern doctor of the purulent surgery department, Vitebsk Regional Clinical Hospital.
