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Central Asian Journal of Medicine

Abstract

The method of laser osteoperforation developed experimentally was approved in 85 patients with chronic osteomyelitis of different forms. A diode laser was used in which wavelength was 970 nm and power – 30 W. Laser osteoperforation was performed transcutaneously in a contact way with a quartz light guide of 0, 4 mm diameter in the projection of bone destruction foci with formation of 2-20 holes. Normalization of temperature and blood indices as well as pain decrease, reduce of soft tissue tension and edema was observed in all the patients in the immediate days after surgery. As a rule, fistulae closed by 7-12 day. In case of chronic osteomyelitis persistent remission is noted during 2-5 years by the objective data (roentgenography, flowmetry, densitometry). Thus, the experience of laser osteoperforation clinical use demonstrates its high effectiveness in treatment of osteomyelitis different forms. The method is of little invasiveness and it allows to reduce the periods of treatment and rehabilitation to a great extent.

First Page

97

Last Page

101

References

1. Berbari E.F., Kanj S.S., Kowalski T.J., Darouiche R.O., Widmer A.F., Schmitt S.K., Hendershot E.F., Holtom P.D., Huddleston P.M., Petermann G.W., Osmon D.R., Infectious Diseases Society of America 2015 Infectious Diseases Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Clin Infect Dis. 2015 Sep 15;61(6):e26-46. [PubMed] 2. Schmitt S.K. Osteomyelitis. Infect Dis Clin North Am. 2017 Jun;31(2):325-338. [PubMed] 3. Nurulloyev S.O., Mirzamuradov H.H. Morphological Changes In Bone Tissue In Chronic Osteomyelitis On The Background Of Application Of Plate Concentrate // The American Journal of Medical Sciences and Pharmaceutical Research (ISSN – 2689-1026) Published: April 30, 2021 | Pages: 160-164 Doi: https://doi.org/10.37547/TAJMSPR/Volume03Issue04-22 4. Aydın N., Kocaoğlu B., Sarıoğlu E., Tok O., & Güven O. The comparison of arthroscopic acromioplasty with and without acromioclavicular coplaning. Ulusal Travma ve Acil Cerrahi Dergisi, 2018. 24(3), 274-277. PMid:29786825. 5. Turnbull C., Young L., & Lowery S. Oral vs. Intravenous antibiotics for the treatment of acute bacterial Osteomyelitis in the veteran population. Open Forum Infectious Diseases, 2017. 4(Suppl. 1), S96-S96. 6. Waddell J., Mcculloh R., Goldman J., Lee B., & Teachout W. Comparative analysis of initial antibiotic dosing among healthy weight, overweight, and obese children with Osteomyelitis. Open Forum Infectious Diseases, 2017. 4(Suppl. 1), S91-S92. 7. Zhou J., Zhou X.G., Wang J.W., Zhou H., & Dong J. Treatment of osteomyelitis defects by a vancomycin-loaded gelatin/β-tricalcium phosphate composite scaffold. Bone & Joint Research, 2018. 7(1), 46-57. http://dx.doi.org/10.1302/2046-3758.71.BJR-2017-0129.R2. PMid:29330343. 8. Sulaymanova Gulnoza Tulkindzanovna, Amonov Muhammad Komilovich. Regional Causes Of Iron Deficiency Anemia, Pathogenesis And Use Of Antianemic Drugs. // The American Journal of Medical Sciences and Pharmaceutical Research (ISSN – 2689-1026) Published: April 30, 2021 | Pages: 165-170 Doi: https://doi.org/10.37547/TAJMSPR/Volume 03 Issue 04-22 9. Yu L., Yu G., Deng K., & Wang G. Asymmetric limb lengthening in the treatment of tibial hemimelia caused by osteomyelitis. Case Reports in Medicine, 2019. 98(3), e14031. PMid:30653110. 10. Belyaeva A.A. Treatment of chronic post-traumatic osteomyelitis of long tubular bones / A.A. Belyaeva, N.E. Mach-son, E.Sh. Savadyan // Vestn. hir. -2016. - No. 10. - P.70 - 74. 11. The use of high-energy lasers in the treatment of experimental acute hematogenous osteomyelitis / V.А. Privalov, O.S. Kushakovsky, A.V. Lappa et al. // New technologies in surgery: Tr. 3 Ross. scientific-practical conf. - Ufa, 2015.-- S. 64-66. 12. Privalov V.A. Osteoperforation with a diode laser in the treatment of acute and chronic osteomyelitis / V.A. Privalov, I.V. Krochek, A.V. Lappa // Bull. VSNTS SB RAMS. - 2018. - Vol. 1, No. 3 (17). - S. 115-121. 13. Laser osteoperforation in the treatment of osteomyelitis / I.V. Krochek, V.A. Privalov, A.V. Lappa et al. / Abstracts of the 8th International Congress of the European Medical Laser Association (EMLA) and the 1st Russian Congress of the Medical Laser Association (RMLA). - M., 2018. - p. 111. 14. Sonis A.G. The results of the use of gravitational therapy in the treatment of patients with osteomyelitis of the lower extremities // Bulletin of Experimental and Clinical Surgery. - 2015. - T 3, No. 4. - P. 377-384 15. Khasanov A.G. The results of the use of plasma flows in the complex treatment of chronic osteomyelitis // Bulletin of experimental and clinical surgery. - T 3, No. 3. - 2016. - S. 210-214. 16. Radaev S.V. The use of nitrogen monoxide in the complex treatment of chronic osteomyelitis: author. dis. ... Cand. - Samara, 2019.- 136 p. 17. Alekseev D.G. Chronic osteomyelitis: features of complex treatment at the present stage / D.G. Alekseev, I. V. Ishutov, V.E. Batakov // Young Scientists for Healthcare of the Region: mater. scientific-practical conf. - Saratov, 2015.- S. 237-238.

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