Infection after fracture fixation

Infection after fracture fixation is a feared complication in orthopaedic surgery leading to poor bone healing and loss of function. Early detection is essential and interdisciplinary care is mandatory. Eradication of infection is only possible through combined surgical and antibiotic treatment. Int...

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Autores principales: Steinmetz, Sylvain, Wernly, Diane, Moerenhout, Kevin, Trampuz, Andrej, Borens, Olivier
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2019
Materias:
General Orthopaedics
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6667977/
https://www.ncbi.nlm.nih.gov/pubmed/31423330
http://dx.doi.org/10.1302/2058-5241.4.180093
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author Steinmetz, Sylvain
Wernly, Diane
Moerenhout, Kevin
Trampuz, Andrej
Borens, Olivier
author_facet Steinmetz, Sylvain
Wernly, Diane
Moerenhout, Kevin
Trampuz, Andrej
Borens, Olivier
author_sort Steinmetz, Sylvain
collection PubMed
description Infection after fracture fixation is a feared complication in orthopaedic surgery leading to poor bone healing and loss of function. Early detection is essential and interdisciplinary care is mandatory. Eradication of infection is only possible through combined surgical and antibiotic treatment. Intraoperative tissue samples must be taken and are effective for guidance of the antibiotic regimen. Infection after fracture fixation is different from prosthetic joint infection (PJI) and needs a specific strategy. In this review, we define infection after fracture fixation, and outline the clinical, radiological and laboratory signs of these infections, as well as a treatment algorithm for optimal patient care. Cite this article: EFORT Open Rev 2019;4:468-475. DOI: 10.1302/2058-5241.4.180093
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spelling pubmed-66679772019-08-16 Infection after fracture fixation Steinmetz, Sylvain Wernly, Diane Moerenhout, Kevin Trampuz, Andrej Borens, Olivier EFORT Open Rev General Orthopaedics Infection after fracture fixation is a feared complication in orthopaedic surgery leading to poor bone healing and loss of function. Early detection is essential and interdisciplinary care is mandatory. Eradication of infection is only possible through combined surgical and antibiotic treatment. Intraoperative tissue samples must be taken and are effective for guidance of the antibiotic regimen. Infection after fracture fixation is different from prosthetic joint infection (PJI) and needs a specific strategy. In this review, we define infection after fracture fixation, and outline the clinical, radiological and laboratory signs of these infections, as well as a treatment algorithm for optimal patient care. Cite this article: EFORT Open Rev 2019;4:468-475. DOI: 10.1302/2058-5241.4.180093 British Editorial Society of Bone and Joint Surgery 2019-07-15 /pmc/articles/PMC6667977/ /pubmed/31423330 http://dx.doi.org/10.1302/2058-5241.4.180093 Text en © 2019 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle General Orthopaedics
Steinmetz, Sylvain
Wernly, Diane
Moerenhout, Kevin
Trampuz, Andrej
Borens, Olivier
Infection after fracture fixation
title Infection after fracture fixation
title_full Infection after fracture fixation
title_fullStr Infection after fracture fixation
title_full_unstemmed Infection after fracture fixation
title_short Infection after fracture fixation
title_sort infection after fracture fixation
topic General Orthopaedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6667977/
https://www.ncbi.nlm.nih.gov/pubmed/31423330
http://dx.doi.org/10.1302/2058-5241.4.180093
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AT wernlydiane infectionafterfracturefixation
AT moerenhoutkevin infectionafterfracturefixation
AT trampuzandrej infectionafterfracturefixation
AT borensolivier infectionafterfracturefixation

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