par Panda, M.;Ntungila, N;Kalunda, M;Hinsenkamp, Maurice 
Référence International orthopaedics, 22, 1, page (37-40)
Publication Publié, 1998
Référence International orthopaedics, 22, 1, page (37-40)
Publication Publié, 1998
Article révisé par les pairs
| Résumé : | From 1984 to 1994, 41 cases of chronic osteomyelitis were treated in Kinshasa by the Papineau technique; 75.5% were men and 24.5% women. The mean age was 28 years (range: 7-77), and the average duration of the infection was 3 years (range: 1 month to 28 years). The aetiology was "trauma" in 53.5%, haematogenous in 44% and drepanocytosis in 2.5%. Infections of the femur and tibia each constituted 41.5% of the cases. Immobilisation was by external fixation in 44%, and by a cast in 39%. Wound healing was complete after an average of 3 months with spontaneous healing, and in 4.5 months after skin grafting. Control of the infection and bone healing were obtained in 89% after a period of 3-7 months. We discuss the Papineau technique and the modifications which were required in Kinshasa. |
