我们星期五可以见面吗？骨髓炎的清创技术。

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta orthopaedica Belgica Pub Date : 2024-12-01 DOI:10.52628/90.4.12423

J Neyt, J Victor, O Cornu

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引用次数: 0

摘要

清创、抗生素和种植体保留（DAIR）的概念在假体周围关节感染中是众所周知的。将这一概念外推到骨折相关感染还存在争议。金属植入物的特性、感染持续时间、骨折愈合状态、微生物特征等似乎在决定是否保留、调整、交换或移除（受感染的）金属制品的过程中起着重要作用。更有可能的是，通过细致的清创控制源的质量对DAIR方法治疗FRI是否能取得成功的结果有重大影响。

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Can we DAIR in FRI ? Debridement techniques in osteomyelitis.

The concept of Debridement, Antibiotics and Implant Retention (DAIR) is well known in periprosthetic joint infections. Extrapolating this concept to fracture related infections is mired in controversies. Characteristics of the metal implant, duration of infection, state of fracture healing, microbiological profile etc. appear to play a role in the decision making process whether or not to keep, adjust , exchange or remove (infected) metalwork. More than likely it is the quality of source control by meticulous debridement having a major impact whether a DAIR approach to FRI could result in a successful outcome.

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