Treatment of chronic osteomyelitis using the Papineau technique

International Orthopaedics
M PandaM Hinsenkamp

Abstract

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.

Citations

Feb 15, 2011·International Orthopaedics·Thierry Rod-FleuryIlker Uçkay
Jul 31, 2012·Current Infectious Disease Reports·Ilker UçkayDaniel Lew
Jan 26, 2016·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·N MaffulliV Denaro
Aug 10, 2010·Clinics in Podiatric Medicine and Surgery·Vasilios D PolyzoisGeorge Macheras
Apr 29, 2015·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Chao HuAnsong Ping
Nov 26, 2008·Foot & Ankle International·Tuukka NiinimäkiJuhana Leppilahti
Feb 8, 2006·Journal of Orthopaedic Trauma·Michael T Archdeacon, Patrick Messerschmitt

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