Modern aspects of etiology, diagnostics and treatment of osteomyelitisS

Abstract

There are 3-10 % cases of chronic osteomyelitis among abscessed surgical disorders. Osteomyelitis develops in 3-25 % of cases after open bone fractures and in 1-8 % of cases after closed fracture surgical treatment, along with this chronic osteomyelitis relapses happen in 20-35 % of cases, which, in turn, needs definitive treatment to the extent of abscission. Staphylococcus aureus dominates in cases of chronic osteitis. The role of proteuses, enterococcuses, bacteroids, peptococcuses and other microorganisms grows. Osteomyelitis is a type of purulent surgical infection in which a macroorganism interacts with a pathogenic microflora. The osteomyelitis clinic differs from the phase, form and pathogenetic process. There are primary and secondary (osteomyelitis, acute and chronic phase, toxic, septicopyemic and local forms. The methods of treatment of osteomyelitis are conservative and surgical, and also their combination.