Die akute Osteitis

Heppert, V.; Wentzensen, Andreas

doi:10.1055/s-2007-977776

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Die Gesamthäufigkeit der akuten post operativen und der chronischen Osteitis beträgt F nach geschlossenen Frakturen 0,5-3%, F nach offenen Frakturen 2,6-10% und F nach Osteosynthesen 0,6-3,4% [5,8,9,10,17].…”

Section: Häufigkeitunclassified

Frühinfekt nach Osteosynthese

Abitzsch¹,

Rusu²,

Lill³

2010

Trauma Berufskrankh

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Section: Häufigkeitunclassified

Frühinfekt nach Osteosynthese

Abitzsch¹,

Rusu²,

Lill³

2010

Trauma Berufskrankh

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“…It is still impossible yet to draw a clear bor- CURRENT CONCEPTS REVIEW SOUBORNÝ REFERÁT for vacuum sealing, which is not a substitute for thorough surgical revision (72). With an inlying implant the osteitis situation becomes more complicated as on one hand an implant surface never gets sterile after micro-organism colonistaion (30) and on the other hand implant removal in critical areas like articular lines is problematic. Fracture healing may occur despite an existing infection if stability is provided by an inlying implant, which may be left in situ (8) when an adequate drainage is provided.…”

Section: Diagnosis Of Infectionmentioning

confidence: 99%

“…If there are still radiological signs of osseous union, only the abscess is evacuated and the nail left in situ with administration of antibiotics till full union. After osseous union the nail is removed the bone reamed and antibiotics continued for another 6 weeks (8,30).…”

Section: Diagnosis Of Infectionmentioning

confidence: 99%

Open Fractures and Infection

Neubauer¹,

Bayer²,

Wagner³

2006

Acta Chir. orthop. Traum. Cech.

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Open fractures still represent a major challenge for the treating surgeon and frequently demand a complex of soft tissue and bone procedures to achieve an undisturbed healing with adequate limb function. However, despite improvement in operative techniques and antibiotic therapy septic complications still occur in severe open fracture forms up to 50%. They are still deleterious for the patient as well as a major economic factor for the treating hospital. Radical (repetitive) debridement of the wound and coverage of soft tissue defects are of utmost importance in the prophylaxis of septic complications along with antibiotic therapy. If the local wound requires flap coverage, early performed procedures yield a clear decrease of infection rates even in most severe fracture forms. Osseous stabilization contributes to infection prophylaxis, especially when the implants can be inserted in a minimal invasive way and provide an adequate handling of soft tissues and the wound. Thus, most often intramedullary nails and external fixators are used today for osteosynthesis. Recently developed plates with angular stability offer a promising alternative even in open fractures, especially when there is an extension of the fracture into the meaphyseal area though indications have to be evaluated. Manifest septic complications demand an early and aggressive approach with radical eradication of the septic topic. While acute infections require most often only minor surgical procedures and offer the chance to leave implants in situ, chronic infections usually demand complex reconstructive measures of bones and soft tissues.

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Der postoperative Frühinfekt

Glombitza

2014

Trauma Berufskrankh

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Die akute Osteitis

Cited by 3 publications

References 6 publications

Frühinfekt nach Osteosynthese

Frühinfekt nach Osteosynthese

Open Fractures and Infection

Der postoperative Frühinfekt

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