[Antibacterial chemotherapy in anaerobic osteomyelitis caused by gunshot wounds].

Thirty three patients with a 7-year history of chronic gunshot osteomyelitis were examined. Non-sporogenic anaerobes were isolated from 28 patients. Gram-positive cocci and gram-negative rods predominated in the anaerobic microflora.

[Diagnostic errors in hematogenic osteomyelitis of the pelvic bones].

The authors have analysed the caused of frequent diagnostic errors in the primary diagnosis which reach 51.2% in 41 patients with hematogenic osteomyelitis of the pelvis. A high percentage of diagnostic errors is caused by more frequent occurrence of hematogenic osteomyelitis of the pelvis in the adults aged 20 to 60 and older who are "not expected" to have hematogenic osteomyelitis which is considered to be a disease characteristic of children and adolescents, by an inadequacy between the provoking etiologic factor and the subsequent development of the disease and by disguise of hematogenic osteomyelitis of the pelvis with symptoms of other frequently occurring diseases.

[Property of polymorphonuclear leukocytes in generating superoxide in osteomyelitis].

Rate of superoxide anion production was decreased in blood polymorphonuclear leukocytes of patients with acute and chronic osteomyelitis both in absence of an activator and after stimulation of the cells by latex particles and menadion in vitro.

[Free bone and skin-bone autoplasty on a vascular pedicle in patients with defects and pseudarthroses].

Radical sequestr- and necrectomy followed by skin, bone or skin-bone autoplasty on the vascular pedicle with microvascular anastomoses between the autotransplant vessels and those of the extremity was successfully fulfilled in 16 patients with defects of tubular bones and false joints complicated by chronic osteomyelitis. The pedicled autografts were taken from the upper flaring portion of the ilium (13), from the fibula (2) and from the external surface of the femur (1). The two-step method of autoplasty is described.

[Radical organ-saving operations in scapular tumors].

The paper deals with analysis of data on 37 cases of scapular neoplasms who had undergone such radical function--saving surgery as interscapular-thoracic resection ( Tikhov - Linberg 's operation) (27) or scapulectomy (10). Modifications of both procedures developed by the authors are described. Their application was followed by an improved functional status as compared with other surgical procedures.