Infection after fracture osteosynthesis – Part II
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...
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Series: | Journal of Orthopaedic Surgery |
Online Access: | https://doi.org/10.1177/2309499017692714 |
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doaj-5b76a259312e489d916be8953cba2e6e2020-11-25T02:53:12ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902017-02-012510.1177/2309499017692714Infection after fracture osteosynthesis – Part IIChristian Fang0Tak-Man Wong1Kelvin KW To2Samson SY Wong3Tak-Wing Lau4Frankie Leung5 Department of Orthopaedics and Traumatology, Queen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong Shenzhen Key Laboratory for Innovative Technology in Orthopaedic Trauma, University of Hong Kong-Shenzhen Hospital, Shenzhen, China Department of Microbiology, Queen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong Department of Microbiology, Queen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong Department of Orthopaedics and Traumatology, Queen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong Shenzhen Key Laboratory for Innovative Technology in Orthopaedic Trauma, University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaIn 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.https://doi.org/10.1177/2309499017692714 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Christian Fang Tak-Man Wong Kelvin KW To Samson SY Wong Tak-Wing Lau Frankie Leung |
spellingShingle |
Christian Fang Tak-Man Wong Kelvin KW To Samson SY Wong Tak-Wing Lau Frankie Leung Infection after fracture osteosynthesis – Part II Journal of Orthopaedic Surgery |
author_facet |
Christian Fang Tak-Man Wong Kelvin KW To Samson SY Wong Tak-Wing Lau Frankie Leung |
author_sort |
Christian Fang |
title |
Infection after fracture osteosynthesis – Part II |
title_short |
Infection after fracture osteosynthesis – Part II |
title_full |
Infection after fracture osteosynthesis – Part II |
title_fullStr |
Infection after fracture osteosynthesis – Part II |
title_full_unstemmed |
Infection after fracture osteosynthesis – Part II |
title_sort |
infection after fracture osteosynthesis – part ii |
publisher |
SAGE Publishing |
series |
Journal of Orthopaedic Surgery |
issn |
2309-4990 |
publishDate |
2017-02-01 |
description |
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. |
url |
https://doi.org/10.1177/2309499017692714 |
work_keys_str_mv |
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