Controlled transossene compression-distraction osteosynthesis according to G.A. Ilizarov in the treatment of patients with chronic osteomyelitis of the foot bones

Introduction: Treatment of patients with chronic osteomyelitis of the foot bones is a complex surgical problem. Common, generally accepted methods of treatment do not solve the problem of restoring the ability to support and function of the limb; they often lead to a relapse of the purulent process, which subsequently causes the formation of an even larger tissue defect. Purpose: To analyze the features and indications of the developed methods for the treatment of osteomyelitis of the foot bones, based on controlled transosseous compression-distraction osteosynthesis according to G.A. Ilizarov presented in the literature.

Materials and methods: A literature search was conducted in various information systems (PubMed, MedLine, eLibrary.ru, State Scientific Library, Central Scientific Library, etc.) using the terms: “osteomyelitis of the foot”; "osteomyelitis of the foot bones"; “the Ilizarov method”, “treatment of osteomyelitis of the foot bones” over the past 10 years.

Results. Differentiated use of controlled transosseous compression-distraction osteosynthesis according to G.A. Ilizarov, in the treatment of patients with osteomyelitis of the foot bones, provides a number of advantages compared to existing treatment methods: persistent relief of the osteomyelitic process and healing of an infected ulcer without the use of microsurgical techniques, restoration of the weight-bearing ability of the limb with the maximum possible function of the foot.

Conclusion. The Ilizarov method allows avoiding complex microsurgical interventions and restores the supporting function of the limb. Further studies will help optimize approaches and improve clinical results, which is important for improving the quality of life of patients.

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