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[Gentamycin-polymethylmethacrylate in the treatment of osteoarticular panaritium]
Abstract:
The authors present treatment results by Gentamicin-polymethyl methacrylate in severe forms of osteoarticular panaritium in the duration of three years when 16 patients with the age ranging form 19 to 64 Years were studied. Serial pearls 7 mm and 5 x 3 mm in diameter were used. The application of pearls was done in pale stasis, upon completing surgical treatment of the fingers and filling of the created cava. The immobilization was placed and 14 days later pearls extracted. Inflammatory process was restrained in all patients with a complete reparation of the fingers' soft tissue. In five patients who had through destruction of the phalangealarticular surfaces developed functional ankylosis in the period of rehabilitation. There were no amputations of the phalanges. Our initial experience in treating destructive inflammatory changes in phalanges by Gentamicin-polymethyl methacrylate points to the shorter treatment period and lower degree of disability when compared to the conventional treatment methods.