[Ortho] Bone Reconstruction by Cancellous Bone Grafting (Papineau Method)

[Димтрий бондарь]

Уважаемые коллеги, читая руководство « Nonunion of the Long Bones» под
редакцией Redento Mora , в разделе Treatment of Infected Nonunions:
Techniques Other Than Compression-Distraction Methods натолкнулся на
следующую методику: 

Bone Reconstruction by Cancellous Bone Grafting (Papineau Method)

With the Papineau method, morselized autologous cancellous bone grafts
areused to obliterate bone defects in tibial infected nonunions [1,
10, 15, 21, 22]. 

The cancellous bone, usually harvested from the iliac crest, is
reduced in bonechips and then packed into the bone cavity without leaving dead space.
The dressing is changed every 4–5 days.The graft is gradually incorporated and there is no
need for soft tissue coverage: the wound heals spontaneously or is covered later, when
granulationtissue grows through the bone graft, by split-thickness skin grafting.
This technique is not very demanding and can be used in elderly patients or inpatients with
concomitant chronic diseases such as diabetes. The disadvantagesare that the procedure can
require many operative stages and prolonged periods of time for healing.

References

1. Lortat-Jacob A (1977) Principes de traitement chirurgical de l’infection
osseuse.Infection sur os non solide. Encycl Mйd Chir, Techn Chir-Orthop Traumatol
44–082Elsevier, Paris

10. Perry CR (1999) Bone repair techniques, bone graft and bone graft
substitutes. Clin Orthop Relat Res 360:71–86

15. Stein H, Lerner A (2001) Advances in the
treatment of chronic osteomyelitis. Curr Orthop 15:451–456

21. Papineau LJ (1973) L’excision-greffe avec fermeture retardйe
dйlibйrйe dans l’ostйomyйlitechronique. Nouv Presse Med 2:2753–2755

22. Roy Camille R, Reignier B, Saillant G et al (1976) Technique et
histoire naturelle del’intervention de Papineau. Excision-greffe de spongieux а l’air
libre. Rev ChirOrthop 62:337–345

Пользовался кто – либо этой методикой? С какими результатами? какие
имеются тут тонкости и нюансы? Каковы показания и противопоказания?
уточнения по технике ? (смущает перевязки через 4-5 дней , и ни слова о VAC )

С уважением
Д.Б.

P.S.указанную в ссылках литературу в Нете не нашёл.