Infection after fracture osteosynthesis – Part II: Treatment

Infection after fracture osteosynthesis – Part II Treatment

In the first part of this article, we have discussed the pathogenesis, clinical presentation, diagnosis and classification of infection after fracture osteosynthesis with implants, termed here as osteosynthesis-associated infection (OAI). Prolonged antibiotic treatment is usually necessary. Implant...

Full description

Saved in:
Bibliographic Details
Published in:Journal of orthopaedic surgery (Hong Kong) Vol. 25; no. 1
Main Authors: Fang, Christian, Wong, Tak-Man, To, Kelvin KW, Wong, Samson SY, Lau, Tak-Wing, Leung, Frankie
Format: Journal Article
Language:English
Published: London, England SAGE Publications 20-02-2017
Subjects:
prosthesis-related infections
biofilms
fracture fixation
surgical wound infection
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In the first part of this article, we have discussed the pathogenesis, clinical presentation, diagnosis and classification of infection after fracture osteosynthesis with implants, termed here as osteosynthesis-associated infection (OAI). Prolonged antibiotic treatment is usually necessary. Implant retention and maintenance of fracture stability to allow for fracture healing in spite of infection are allowed for OAI. Depending on the severity of infection, status of fracture healing and host status, the treatment follows five common pathways. These are non-operative treatment, debridement with implant retention, conversion of fixation, implant removal and suppression therapy. The decision-making process leading to each treatment pathway and challenging scenarios is discussed in detail.
ISSN:1022-5536
2309-4990
DOI:10.1177/2309499017692714