Infection after fracture osteosynthesis – Part I
Bone and surgical site infections after osteosynthesis are notoriously difficult to manage and pose a tremendous burden in fracture management. In this article, we use the term osteosynthesis-associated infection (OAI) to refer to this clinical entity. While relatively few surgically treated fractur...
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doaj-2d23ea2df5904ae58084469fb1065cfe2020-11-25T03:06:42ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902017-02-012510.1177/2309499017692712Infection after fracture osteosynthesis – Part IChristian Fang0Tak-Man Wong1Tak-Wing Lau2Kelvin KW To3Samson SY Wong4Frankie Leung5 Department of Orthopaedics and Traumatology, Queen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong, China Shenzhen Key Laboratory for Innovative Technology in Orthopaedic Trauma, University of Hong Kong-Shenzhen Hospital, Shenzhen, China Department of Orthopaedics and Traumatology, Queen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong, China Department of Microbiology, Queen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong, China Department of Microbiology, Queen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong, China Shenzhen Key Laboratory for Innovative Technology in Orthopaedic Trauma, University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaBone and surgical site infections after osteosynthesis are notoriously difficult to manage and pose a tremendous burden in fracture management. In this article, we use the term osteosynthesis-associated infection (OAI) to refer to this clinical entity. While relatively few surgically treated fractures become infected, it is challenging to perform a rapid diagnosis. Optimal management strategies are complex and highly customized to each scenario and take into consideration the status of fracture union, the presence of hardware and the degree of mechanical stability. At present, a high level of relevant evidence is unavailable; most findings presented in the literature are based on laboratory work and non-randomized clinical studies. We present this overview of OAI in two parts: an examination of recent literature concerning OAI pathogenesis, diagnosis and classification and a review of treatment options.https://doi.org/10.1177/2309499017692712 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Christian Fang Tak-Man Wong Tak-Wing Lau Kelvin KW To Samson SY Wong Frankie Leung |
spellingShingle |
Christian Fang Tak-Man Wong Tak-Wing Lau Kelvin KW To Samson SY Wong Frankie Leung Infection after fracture osteosynthesis – Part I Journal of Orthopaedic Surgery |
author_facet |
Christian Fang Tak-Man Wong Tak-Wing Lau Kelvin KW To Samson SY Wong Frankie Leung |
author_sort |
Christian Fang |
title |
Infection after fracture osteosynthesis – Part I |
title_short |
Infection after fracture osteosynthesis – Part I |
title_full |
Infection after fracture osteosynthesis – Part I |
title_fullStr |
Infection after fracture osteosynthesis – Part I |
title_full_unstemmed |
Infection after fracture osteosynthesis – Part I |
title_sort |
infection after fracture osteosynthesis – part i |
publisher |
SAGE Publishing |
series |
Journal of Orthopaedic Surgery |
issn |
2309-4990 |
publishDate |
2017-02-01 |
description |
Bone and surgical site infections after osteosynthesis are notoriously difficult to manage and pose a tremendous burden in fracture management. In this article, we use the term osteosynthesis-associated infection (OAI) to refer to this clinical entity. While relatively few surgically treated fractures become infected, it is challenging to perform a rapid diagnosis. Optimal management strategies are complex and highly customized to each scenario and take into consideration the status of fracture union, the presence of hardware and the degree of mechanical stability. At present, a high level of relevant evidence is unavailable; most findings presented in the literature are based on laboratory work and non-randomized clinical studies. We present this overview of OAI in two parts: an examination of recent literature concerning OAI pathogenesis, diagnosis and classification and a review of treatment options. |
url |
https://doi.org/10.1177/2309499017692712 |
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