Infizierte Osteosynthese [Infected osteosynthesis]

Détails

ID Serval
serval:BIB_F0A9E116D56B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Infizierte Osteosynthese [Infected osteosynthesis]
Périodique
Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen
Auteur(s)
Borens O., Helmy N.
ISSN
1433-0385 (Electronic)
ISSN-L
0009-4722
Statut éditorial
Publié
Date de publication
10/2016
Peer-reviewed
Oui
Volume
87
Numéro
10
Pages
822-830
Langue
allemand
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Infections after osteosynthesis are a feared complication of the surgical treatment of fractures and should be dealt with by a multidisciplinary team. In addition to the surgeon, also included in this multidisciplinary team are a specialist for infectious diseases, a microbiologist, a radiologist and often a plastic surgeon. This review article describes the current knowledge on the pathogenesis, diagnostics, classification and treatment. The aim is to demonstrate some basic rules in the treatment of infections associated with implants and to show potential therpeutic approaches.
The principles of diagnostics and combined surgical and antibiotic treatment are presented based on the current specialist literature.
With the help of a team approach the goals of treatment of an infected osteosynthesis, i.e. fracture healing, return to function and eradication of infection can be achieved. While the osteosynthesis material can usually be retained in acute infections, it is better to remove the infected hardware in chronic infections as eradication of the mature biofilm is no longer possible.
With adequate local wound débridement, the use of local and systemic antibiotics, as indicated by the specialist for infectious diseases and appropriate soft tissue coverage and wound closure, acute as well as chronic infections can be successfully treated. Nowadays, the surgeon has many different options for the management of bone defects. Depending on the anatomical location and the size of the defect a variety of techniques ranging from acute shortening to the Masquelet technique up to the Ilizarov distraction technique are available. These techniques should be combined with local bactericidal treatment.

Mots-clé
Anti-Bacterial Agents/therapeutic use, Biofilms, Chronic Disease, Combined Modality Therapy, Debridement, Fracture Fixation, Internal/instrumentation, Humans, Interdisciplinary Communication, Intersectoral Collaboration, Surgical Wound Infection/classification, Surgical Wound Infection/diagnosis, Surgical Wound Infection/therapy, Antibiotics, Biofilm, Implants, Infection, Operative procedures
Pubmed
Web of science
Création de la notice
16/09/2016 16:28
Dernière modification de la notice
21/08/2019 5:36
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