The Clinical Curative Effect Observation Of The Extent Of Calcaneal Resection To Treat The Calcaneal Osteomyelitis

Objective：22cases of chronic calcaneal osteomyelitis by operation process ofdebridement, respectively on the calcaneal part resection and total resection, into the loadof antibiotic bone cement chain, the flap closed wound clinical case study, observation anddebridement process calcaneal total resection and partial resection for the treatment ofcalcaneal osteomyelitis curative effect.Method: The cases were randomly divided into the calcaneus total resection andpartial resection group, preoperative bacterial swab wound exudate in3consecutive Dsecretion of bacterial culture and drug sensitivity test, drug susceptibility to indicatorbacteria were sensitive to vancomycin. Operation room a thorough debridement, woundaround the scar and the removal of granulation tissue, curette scraping all calcaneal bone orjust scraping necrosis tissue, dead bone and ischemia sclerotic bone to wound oozing good(keep good oozing bone). With the3.0%H2O2solution with0.1%benzalkonium bromidebrine repeated rinse immersion wound, saline rinse. Add homemade load ofvancomycin-loaded bone cement chain, flushing suture, take ipsilateral sural nerve flapwith reversed sural posterior, random flap, flap and other filling die cavity and the repair ofskin defect area, adequate drainage. Surgical dressing change on time, recording woundgrowth and bacterial culture results, observation of wound healing quality.Results: All the patients were followed-up, calcaneal total resection group infectionrecurrence rate was significantly lower than the calcaneal part resection group (P <0.05),flap growth is good, the wound healed well, feasible two phase bone grafting forreconstruction of calcaneal shape.Conclusion: Chronic calcaneal osteomyelitis operation debridement of all scrapingcalcaneal to reduce the infection rate of recurrence has a significant role in promoting, have stronger control of local infection, can accelerate wound healing, reducecomplications. Greatly improve the prognosis of patients, reduce the economic burden ofpatients with mental. For the two phase of calcaneal bone grafting for reconstruction ofcalcaneal shape. The clinical effect is better than the calcaneal part resection group.