Your browser doesn't support javascript.
loading
Combined Orthoplastic Approach in Fracture-Related Infections of the Distal Tibia.
Sambri, Andrea; Pignatti, Marco; Tedeschi, Sara; Lozano Miralles, Maria Elisa; Giannini, Claudio; Fiore, Michele; Filippini, Matteo; Cipriani, Riccardo; Viale, Pierluigi; De Paolis, Massimiliano.
Afiliação
  • Sambri A; Orthopaedics Unit, IRCCS AOU di Bologna, 40138 Bologna, Italy.
  • Pignatti M; Plastic Surgery Unit, IRCCS AOU di Bologna, 40138 Bologna, Italy.
  • Tedeschi S; Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy.
  • Lozano Miralles ME; Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy.
  • Giannini C; Infectious Disease Unit, IRCCS AOU di Bologna, 40138 Bologna, Italy.
  • Fiore M; Plastic Surgery Unit, IRCCS AOU di Bologna, 40138 Bologna, Italy.
  • Filippini M; Orthopaedics Unit, IRCCS AOU di Bologna, 40138 Bologna, Italy.
  • Cipriani R; Orthopaedics Unit, IRCCS AOU di Bologna, 40138 Bologna, Italy.
  • Viale P; Orthopaedics Unit, IRCCS AOU di Bologna, 40138 Bologna, Italy.
  • De Paolis M; Plastic Surgery Unit, IRCCS AOU di Bologna, 40138 Bologna, Italy.
Microorganisms ; 10(8)2022 Aug 12.
Article em En | MEDLINE | ID: mdl-36014058
This series reports on the treatment of distal tibia (DT) fracture-related infections (FRI) with a combined orthoplastic approach. Thirteen patients were included. In eight patients with extensive bone involvement and in those with a non-healed fracture, the DT was resected ("staged approach"). In five cases, the DT was preserved ("single-stage approach"). A wide debridement was performed, and the cavity was filled with antibiotic-loaded PerOssal beads. All patients had a soft-tissue defect covered by a free vascularized flap (anterolateral thigh perforator flap in eight cases, latissimus dorsi flap in five). At the final follow-up (mean 25 months, range, 13-37), no infection recurrence was observed. In one patient, the persistence of infection was observed, and the patient underwent a repeated debridement. In two cases, a voluminous hematoma was observed. However, none of these complications impacted the final outcome. The successful treatment of FRI depends on proper debridement and obliteration of dead spaces with a flap. Therefore, when dealing with DT FRI, debridement of infected bone and soft tissues must be as radical as required, with no fear of the need for massive reconstructions.
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2022 Tipo de documento: Article