Clostridial Infection After Open Fractures of the Lower Extremity - Report of Two Cases and Discussion of Pathomechanism and Treatment.
In Vivo
; 34(1): 291-298, 2020.
Article
em En
| MEDLINE
| ID: mdl-31882491
ABSTRACT
BACKGROUND:
Management of post-traumatic open fractures resulting from severe injuries of the lower extremity continues to challenge orthopedic and reconstructive surgeons. Moreover, post-traumatic osteoarticular infections due to Clostridium species are rare, with few reports in the literature. We describe possible pathomechanisms and propose treatment options for cases of delayed diagnosis of osteoarticular infections with Clostridium spp. CASE REPORTS Two patients sustained severe osteoarticular infection due to Clostridium spp. after open epi- and metaphyseal fractures of the lower extremity. In combination with radical debridement, ankle arthrodesis and long-term antibiotic treatment, satisfactory results were achieved after a follow-up of 18 months and 24 years.CONCLUSION:
Clostridium species are difficult to identify, treatment is usually delayed and most patients have unfavourable outcomes.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Clostridium
/
Infecções por Clostridium
/
Extremidade Inferior
/
Fixação Interna de Fraturas
/
Fraturas Expostas
Tipo de estudo:
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
In Vivo
Ano de publicação:
2020
Tipo de documento:
Article