Intramedullary implant exchange and adequate soft tissue coverage in exposed implants following fracture related infection in operatively treated ankle fractures

Q4 Medicine
R.B. Beks , P. van Oosten , D. van Embden , M. Botman , T. Schepers
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引用次数: 0

Abstract

Ankle fractures are common with an increasing incidence due to aging populations. A major complication after surgery for ankle fractures is deep infection, which requires additional treatments and adversely affect long-term outcomes. Treatment of fracture-related infections focuses on achieving fracture union and may involve either retaining or removing the implant, depending on the stability of the implant, with early involvement of a plastic surgeon crucial for adequate tissue coverage. This study presents four cases demonstrating the successful use of intramedullary screw fixation of the fibula to stabilize partially healed fractures, reduce implant load and improve soft tissue coverage in patients with fracture-related infection after operatively treated ankle fractures. Therefore, exchange to intramedullary screw fixation should be considered in patients with fracture related infection of the fibula to reduce the bacterial load of foreign material and allow for better soft tissue coverage and healing.
在手术治疗的踝关节骨折骨折相关感染后,髓内植入物置换和充分的软组织覆盖暴露的植入物
踝关节骨折是一种常见的疾病,由于人口老龄化,其发病率不断上升。踝关节骨折手术后的主要并发症是深度感染,这需要额外的治疗,并对长期结果产生不利影响。骨折相关感染的治疗重点是实现骨折愈合,可能包括保留或移除植入物,这取决于植入物的稳定性,早期介入整形外科医生对足够的组织覆盖至关重要。本研究报告了4例成功应用髓内螺钉固定腓骨以稳定部分愈合骨折,减少植入物负荷,改善踝关节骨折术后骨折相关感染患者的软组织覆盖。因此,对于腓骨骨折相关感染的患者,应考虑髓内螺钉置换固定,以减少外来物质的细菌负荷,并允许更好的软组织覆盖和愈合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Trauma Case Reports
Trauma Case Reports Medicine-Emergency Medicine
CiteScore
0.60
自引率
0.00%
发文量
131
审稿时长
26 weeks
期刊介绍: Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.
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