Hardware considerations in infection and nonunion management: When and how to revise the fixation.

Autor:	Hoit G; Division of Orthopaedic Surgery, Department of Surgery, University of Toronto., Bonyun M; Division of Orthopaedic Surgery, Department of Surgery, University of Toronto., Nauth A; Division of Orthopaedic Surgery, Department of Surgery, University of Toronto.; Department of Orthopaedic Surgery, St. Michaels Hospital, Toronto, ON, Canada.
Jazyk:	angličtina
Zdroj:	OTA international : the open access journal of orthopaedic trauma [OTA Int] 2020 Mar 23; Vol. 3 (1), pp. e055. Date of Electronic Publication: 2020 Mar 23 (Print Publication: 2020).
DOI:	10.1097/OI9.0000000000000055
Abstrakt:	The occurrence of both nonunion and fracture-related infection provides challenges for both the patient and the treating orthopaedic surgeon, with the potential need for complex reconstructive procedures to achieve union and/or eradicate infection. In addition to addressing the multiple different factors that often contribute to nonunion, surgeons are often forced to deal with difficult hardware issues at the time of revision surgery including infected hardware, loose or failing hardware, malaligned hardware, or inappropriate hardware constructs. This article reviews common causes of nonunions with emphasis on infection management and provides indications and techniques for hardware removal in the context of an algorithmic approach to nonunion management with illustrative case examples. Competing Interests: The authors have no conflicts of interest to disclose. (Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association.)
Databáze:	MEDLINE
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