Postoperative infection in patients undergoing inspection of orthopedic damage due to external fixation

Foni, Noel Oizerovici; Batista, Felipe Augusto Ribeiro; Rossato, Luís Henrique Camargo; Hungria, José Octávio Soares; Mercadante, Marcelo Tomanik; Christian, Ralph Walter

doi:10.1016/j.rboe.2015.10.011

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Infection of the implant site in orthopedic treatment [5,6] is one of the most difficult complications in orthopedic surgery, ranging from delaying the treatment cycle and increasing treatment costs to amputation or death due to infection. There are generally two reasons for orthopedic prosthesis infection: firstly, bacterial adhesion [7] forms a biofilm on the surface of the implant, which hinders the body's immune response and the killing effect of antibiotics on bacteria.…”

Section: Introductionmentioning

confidence: 99%

Application Effect Analysis of a Nanotube Combined with Orthopedic Exercise Rehabilitation Therapy in the Treatment of Patients with Knee Arthritis

Zhang

Zhong-you

2022

Journal of Nanomaterials

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Knee arthritis is one of the common diseases with the highest incidence in osteoarthrosis, which seriously affects people’s health, and as the patient’s medical history prolongs, the pain degree becomes more and more serious. In recent years, with the rapid development of nanotechnology, its application scope has gradually been involved the medical field. The application of nanotube-targeted drugs to treat osteoarthritis can repair bone to a certain extent and relieve patient pain symptom. Sports rehabilitation therapy, as an important nursing method in orthopedic treatment, can improve the patient’s body recovery ability and enhance the therapeutic effect of surgery. Based on this, this article proposes the application research of a nanotube combined with exercise rehabilitation therapy in the treatment of patients with knee arthritis. The research carried out in this article is mainly divided into three parts: the first part is the research of titanium dioxide nanotubes in orthopedic treatment, studying the diameter and drug loading of nanotubes, research on how to target the damaged bone tissue and release drugs, and discussing the tissue compatibility and safety of nanotubes to the human body; the second part is the study on exercise rehabilitation therapy in orthopedic treatment and study on how to exercise properly to enhance the patient’s body recovery; the third part is clinical investigation and research, according to the observation group in contrast with the indicators of the control group to draw conclusions. The results of this experiment show that in the clinical treatment of knee arthritis surgery, in the analysis of postoperative patients, the scores of the three groups of patients before treatment were relatively low, with scores ranging from 5 to 8, but the scores of the observation group were significantly higher than those of the first and second groups. The observation group ranged from 7 to 10. The joint scores of the observation group gradually increased at 1 week and 2 weeks after treatment. The increase in functional score was more pronounced. For patients with a longer medical history, perform appropriate helping exercises. Titanium dioxide nanotubes have good antibacterial properties as an endoplant and good histocompatibility with human bones. In the observation group combined with exercise therapy, various complications such as pain, swelling, and muscle atrophy were relatively small, allowing the patient to speed up the recovery of various body functions.

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Section: Introductionmentioning

confidence: 99%

Application Effect Analysis of a Nanotube Combined with Orthopedic Exercise Rehabilitation Therapy in the Treatment of Patients with Knee Arthritis

Zhang

Zhong-you

2022

Journal of Nanomaterials

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“…2 After the time required to recover from the adversities of traumatic injuries and to restore systemic and local conditions, patients will again be surgically approached either for conversion to osteosynthesis with internal implants or for the installation of osteosynthesis with external fixators which enable definitive treatment to stabilize smaller and joint fragments. 2 Thus, this study aimed to identify the complication rates associated with the application of temporary external fixation. This study received no financial support from public, commercial, individual or legal sources.…”

Section: Introductionmentioning

confidence: 99%

Interference of External Damage Control Fixation in Definitive Osteosynthesis

et al. 2022

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Introduction: Indications for provisional external fixation prior to the definitive treatment of fractures are associated with the control of local and systemic damage and the impossibility of definitive osteosynthesis in the emergency. Objective: To identify complications associated with external fixation prior to definitive internal osteosynthesis. Methods: This is a comparative, prospective study (Level II). Inclusion criteria: patients treated as emergencies (November 2019 and March 2020) who underwent provisional external correction followed by definitive osteosynthesis. We look for signs of inadequacies in external correction and correlation with infections (erythema, hyperemia, fistulae in the path of the pins or surgical scars), systemic symptoms of infection, and radiographic parameters for treatment up to eight weeks after surgery. Results: The average time for conversion to definitive osteosynthesis was 15.9 days and 47 lower limbs and three upper limbs were fixed. Of the participants who had deep infections, three (6%) showed signs during initial treatment (external fixator) and nine (18%), after definitive internal osteosynthesis. We found no correlation between provisional external correction and complications in the definitive treatment with osteosynthesis. Conclusion: The use of temporary external fixation before definitive internal osteosynthesis in fractures of the appendicular skeleton failed to increase complication rates even if the path of the implants in both procedures overlapped. Level of Evidence II, Comparative Prospective Study.

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“…The comparison of a significant number complications (primarily infections) with a dominant share of aggressive internal fixation technologies allowed to conclude that indications for ORIF were ungrounded in many cases [10,[26][27][28][29][30][31]. First of all, it led to the neglect of osteosynthesis biological principles (which AO developers emphasize): an additional surgical trauma would place heavily injured tissues outside of viability [32][33][34].…”

Section: Introductionmentioning

confidence: 99%

Tactical treatment optimization for long bone distal metaepiphysis fractures based on biological principles

Bets¹

2019

ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS

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Postoperative infection in patients undergoing inspection of orthopedic damage due to external fixation

Cited by 3 publications

References 9 publications

Application Effect Analysis of a Nanotube Combined with Orthopedic Exercise Rehabilitation Therapy in the Treatment of Patients with Knee Arthritis

Application Effect Analysis of a Nanotube Combined with Orthopedic Exercise Rehabilitation Therapy in the Treatment of Patients with Knee Arthritis

Interference of External Damage Control Fixation in Definitive Osteosynthesis

Tactical treatment optimization for long bone distal metaepiphysis fractures based on biological principles

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