Life- and limb-threatening infections following the use of an external fixator
| Autor: | Dror Paley, J. E. Herzenberg, Noam Bor, S. C. Standard, J. J. Jauregui, R. Thakral |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty External fixator Adolescent External Fixators medicine.medical_treatment Necrotising fasciitis Bone Nails Bone Lengthening External fixation medicine Humans Surgical Wound Infection Orthopedics and Sports Medicine Fasciitis Necrotizing Child Surgical treatment Retrospective Studies business.industry Toxic shock syndrome Mean age Middle Aged medicine.disease Shock Septic Surgery Early Diagnosis Child Preschool Female business Trauma surgery Bone Wires |
| Zdroj: | The Bone & Joint Journal. :1296-1300 |
| ISSN: | 2049-4408 2049-4394 |
| Popis: | External fixation is widely used in orthopaedic and trauma surgery. Infections around pin or wire sites, which are usually localised, non-invasive, and are easily managed, are common. Occasionally, more serious invasive complications such as necrotising fasciitis (NF) and toxic shock syndrome (TSS) may occur. We retrospectively reviewed all patients who underwent external fixation between 1997 and 2012 in our limb lengthening and reconstruction programme. A total of eight patients (seven female and one male) with a mean age of 20 years (5 to 45) in which pin/wire track infections became limb- or life-threatening were identified. Of these, four were due to TSS and four to NF. Their management is described. A satisfactory outcome was obtained with early diagnosis and aggressive medical and surgical treatment. Clinicians caring for patients who have external fixation and in whom infection has developed should be aware of the possibility of these more serious complications. Early diagnosis and aggressive treatment are required in order to obtain a satisfactory outcome. Cite this article: Bone Joint J 2015;97-B:1296–1300. |
| Databáze: | OpenAIRE |
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