In reparative surgery, and particularly reosteo-synthesis, latent or apathogenic germ invasion of "old" wounds must always be reckoned with. Antiinfectious measures, which must be pursued untiringly, are to be placed beside equivalent surgical measures which should go beyond mere operative care of traumatic tissue damage.
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Surg Infect (Larchmt)
December 2024
Department of Orthopedics, No. 2 People's Hospital of Fuyang City, Fuyang City, People's Republic of China.
The main focus of this study is to investigate the clinical efficacy of external fixation treatment using removed locking plates in patients with failed debridement and antimicrobial therapy of infection after internal fixation of fractures. From January 2019 to January 2023, our medical institution treated 13 patients who had failed debridement and antimicrobial therapy for infection after internal fixation of fractures. All patients had their internal fixation devices removed, underwent thorough debridement, and then the removed locking plates were repurposed for external fixation treatment.
View Article and Find Full Text PDFPOCUS J
November 2024
Department of Emergency Medicine, University of California San Francisco, CA USA.
Rev Esp Med Nucl Imagen Mol (Engl Ed)
November 2024
Servicio de Medicina Nuclear, Hospital Universitario La Paz, Madrid, Spain; Grupo de Patología Músculo-Esquelética de la SEMNIM, Spain.
F-FDG PET/CT has been positioned over time as a useful tool in the evaluation of osteoarticular infections, overcoming conventional explorations like MRI or bone scintigraphy in some indications. Its ability to provide functional and anatomical images simultaneously and its excellent resolution contributes to a more precise and personalised approach in the treatment of osteoarticular diseases such as spondylodiscitis. In addition, it has proven valuable in patients with suspected infection that is complex to diagnose or treat, improving detection in subclinical stages.
View Article and Find Full Text PDFOper Orthop Traumatol
November 2024
Abteilung Septische Chirurgie, BG-Unfallklink Murnau, Prof. Küntscher-Str. 8, 82418, Murnau, Deutschland.
Objective: Simultaneous implantation of a TOPS (transcutaneous osseointegrated prosthetic system) and THA (total hip arthroplasty) or staged approach.
Indications: Patients with a TOPS who have coxarthrosis. Patients with an existing THA who have required above-knee amputation and need a TOPS.
Orthop Surg
January 2025
Department of Orthopedics, Shengjing Hospital of China Medical University, Shenyang, China.
Purpose: Infection after fracture fixation (IAFF) is a severe complication. There are few multicenter studies targeting IAFF. This paper identifies independent risk factors associated with IAFF by analyzing multicenter clinical data.
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