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Sylvain Steinmetz Service of Orthopaedics and Traumatology, Lausanne University Hospital, Lausanne, Switzerland

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Diane Wernly Service of Orthopaedics and Traumatology, Lausanne University Hospital, Lausanne, Switzerland

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Kevin Moerenhout Service of Orthopaedics and Traumatology, Lausanne University Hospital, Lausanne, Switzerland

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Andrej Trampuz Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Center for Musculoskeletal Surgery (CMSC), Berlin, Germany

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Olivier Borens Service of Orthopaedics and Traumatology, Lausanne University Hospital, Lausanne, Switzerland

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  • Infection after fracture fixation is a feared complication in orthopaedic surgery leading to poor bone healing and loss of function.

  • Early detection is essential and interdisciplinary care is mandatory.

  • Eradication of infection is only possible through combined surgical and antibiotic treatment.

  • Intraoperative tissue samples must be taken and are effective for guidance of the antibiotic regimen.

  • Infection after fracture fixation is different from prosthetic joint infection (PJI) and needs a specific strategy.

  • In this review, we define infection after fracture fixation, and outline the clinical, radiological and laboratory signs of these infections, as well as a treatment algorithm for optimal patient care.

Cite this article: EFORT Open Rev 2019;4:468-475. DOI: 10.1302/2058-5241.4.180093

Article Type:
Review Article
Category:
General Orthopaedics
DOI:
https://doi.org/10.1302/2058-5241.4.180093
Volume/Issue:
Volume 4: Issue 7
Open access
Marc Beirer Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany

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Chlodwig Kirchhoff Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany

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Peter Biberthaler Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany

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radius and the malleoli. The proximal femur, malleoli and tibial shaft were the most frequent anatomical regions requiring re-operation. Discomfort from orthopaedic implants, infection and failure of osteosynthesis were the most common indications for re

Article Type:
Research Article
Category:
General Orthopaedics
DOI:
https://doi.org/10.1302/2058-5241.2.160086
Volume/Issue:
Volume 2: Issue 12
Open access