Locking plate external fixation and negative pressure wound therapy for treatment of a primary infection in a closed clavicle fracture
| Autor: | John Francis Quinlan, David I Morrissey, Diarmuid C Molony, Robert M Kenyon |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Article Locking plate 03 medical and health sciences External fixation Fracture Fixation Internal 0302 clinical medicine Antibiotic therapy Negative-pressure wound therapy Medicine Humans Surgical Wound Infection Displacement (orthopedic surgery) 030212 general & internal medicine Fractures Closed 030222 orthopedics business.industry Soft tissue General Medicine Clavicle Surgery medicine.anatomical_structure Treatment Outcome Fracture (geology) business Bone Plates Negative-Pressure Wound Therapy |
| Popis: | Infection in a clavicle fracture is uncommon, but remains a challenging problem. A paucity of soft tissue coverage often combined with significant displacement and interfragmentary movement add complexity to an already difficult situation for effective infection treatment. External fixation in principle offers a means of achieving fracture stability, while the infection is being eradicated. We present the case of a closed clavicle fracture, initially treated conservatively, that presented 5 weeks later with infection. The fracture was definitively treated with external fixation using a locking plate positioned superficially to the skin, plus negative pressure wound therapy and subsequent secondary closure and antibiotic therapy. This case illustrates a novel method of treatment in this unusual presentation that was well tolerated by the patient and resulted in a good clinical outcome. |
| Databáze: | OpenAIRE |
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