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adjacent joint space. The epiphyses of children aged less than 18 months are vascularised by transphyseal vessels. 7 This can facilitate haematogenous spread of bone infection from the metaphysis to the epiphysis and the adjoining joint space, and
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Department of Orthopaedics and Trauma Surgery, Medical University of Vienna, Austria
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Conference later that year but was not universally accepted and was not endorsed by MSIS or the European Bone Joint Infection Society (EBJIS). One major concern about the early definitions was that they presented a bimodal clinical decision (infected or not
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Division of Infectious Diseases, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland
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Division of Infectious Diseases, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland
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Division of Infectious Diseases, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Bone Infection Unit, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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Division of Orthopaedics and Trauma Surgery, Bone Infection Unit, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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Introduction Bone and joint infections include any infection of the bone (osteomyelitis), joint (septic arthritis) or implants related to these structures (periprosthetic joint infections [PJI], fracture-related infections [FRI] involving
Porto Bone and Joint Infection Group (GRIP), Centro Hospitalar Universitário do Porto and Grupo TrofaSaude, Portugal
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Department of Microbiology, Centro Hospitalar Universitário do Porto, Porto, Portugal
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Department of Microbiology, Centro Hospitalar Universitário do Porto, Porto, Portugal
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available in most laboratories. For the time being, treating physicians must rely on adequate sampling to offer the best chance to identify the infecting pathogen(s). Ideally, decisions regarding complex bone and joint infections will be made in a
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prosthetic infections where joint aspiration can help preoperatively with diagnostics and establishment of a treatment plan. Compared to patients presenting for elective surgery, traumatic patients have generally more soft tissue damage, with even direct
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systematic review . J Bone Joint Surg Br 2008 ; 90 : 915 – 919 . 4. Pulido L Ghanem E Joshi A Purtill JJ Parvizi J . Periprosthetic joint infection: the incidence, timing, and predisposing factors
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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.1016/j.ijsu.2017.03.085 ) 59. Gustilo RB Anderson JT . Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses . Journal of Bone and Joint Surgery: American
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treatment of the soft tissue and bone infection. Antibiotic treatment should be continued until the second stage. Antibiotic-free waiting intervals and joint aspiration before the second stage are no longer recommended. According to ICM-2018, there is no
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anatomical reduction and internal fixation of fractures. 2 The objective of surgery is to achieve exact reduction to restore joint congruence, to adequately fix internal bone fragments, avoid displacement of the fracture and allow rapid rehabilitation
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Despite the development of several preventative measures, the annual incidence of peri-prosthetic joint infection (PJI) in THA is 1.17% and has a five-year mortality rate of 21.12%. 7 The annual cost for revisions due to PJI was US$566 million in 2009
