Chronic non-hematogenous osteomyelitis: pathogenesis, clinical presentation, diagnosis, and treatment

The treatment of chronic hematogenous osteomyelitis must be comprehensive and tailored to the stage of the disease process. During the acute exacerbation phase, radical surgical debridement is performed to remove all non-viable tissue, sequestra, pus, and pathological granulation tissue. An active continuous-flow irrigation drainage system is established to ensure the constant removal of pus and the administration of antiseptics. Stable fixation of bone fragments is achieved using external fixation devices.

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Publication Details

Journal
Military Medicine
Published
2026-10-27
DOI
https://doi.org/10.51922/2074-5044.2026.4.83
Primary Topic
Orthopedic Infections and Treatments
Type
article
Field-Weighted Citation Impact
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article

Chronic non-hematogenous osteomyelitis: pathogenesis, clinical presentation, diagnosis, and treatment

В. С. Деркачев, N. Y. Kondubov, S. A. Alekseev, E. V. Derkacheva et al.
Military Medicine
Orthopedic Infections and Treatments
article

Chronic non-hematogenous osteomyelitis: pathogenesis, clinical presentation, diagnosis, and treatment

В. С. Деркачев, N. Y. Kondubov, S. A. Alekseev, E. V. Derkacheva, D. V. Derkachev, D. S. Alekseev
article en

Abstract

The treatment of chronic hematogenous osteomyelitis must be comprehensive and tailored to the stage of the disease process. During the acute exacerbation phase, radical surgical debridement is performed to remove all non-viable tissue, sequestra, pus, and pathological granulation tissue. An active continuous-flow irrigation drainage system is established to ensure the constant removal of pus and the administration of antiseptics. Stable fixation of bone fragments is achieved using external fixation devices.

Military Medicine(4)
St Petersburg University (RU), Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine (RU), Belarusian State Medical University (BY)
Openalex Percentile: Top 9%
Orthopedic Infections and Treatments
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