Journal Contents   |    
A Method for Closed Irrigation and Suction Therapy in Deep Wound Infections A PRELIMINARY REPORT
View Disclosures and Other Information
From Cleveland Veterans Administration Hospital and Case Western Reserve University, Cleveland
1969 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1969 Mar 01;51(2):323-342
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


An improved method for closed-system, irrigation-suction, antibiotic-detergent treatment of deep infected wounds has been described. Most of the twenty-four patients in the present series had acute infections of the musculoskeletal system but there were some chronic infections.

The method has been simplified by the use of a preoperatively prepared surgical pack and a crisscross flow-reversal arrangement of the tubing. Insertion of the tubes through puncture wounds at surgery is facilitated by the use of Steinmann pins of the proper diameter, which eliminate the likelihood of leakage about the tubes.

It is convenient to have three intravenous bottles in place. The desired solution may be selected by appropriate application of clamps on the tubing. One intravenous bottle contains Clorpactin XCB, 0.5 per cent; another, normal saline; the third, Alevaire and the selected antibiotic in normal saline.

Precautions in the use of the materials are discussed. The ability to regulate or reverse the flow of solutions precisely is increased by the crisscross tubes. The crisscross flow-reversal feature is considered essential for the prevention of pooling, sinus formation, and clogging of tubes, and as a means to assure maximum contact of the solutions with all parts of wound.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical practice guideline: cerumen impaction. -American Academy of Otolaryngology - Head and Neck Surgery Foundation | 4/17/2009
    Clinical practice guideline: acute otitis externa. -American Academy of Otolaryngology - Head and Neck Surgery Foundation | 7/14/2006
    Results provided by:
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs