INFECTION FOLLOWING OPEN FRACTURE: G. Cierny III, MD
Contents: 1) Management of Bone Loss; 2) Common Decision-Making Errors in Limb Salvage; 3) Chrnic Neuropathic Pain Following Open Fractures; 4) Management of Soft-Tissue Loss After Trauma; 5) Malunions and Nonunions in the Lower Exdtremity; 7) Infection Following Open Fracture – George Cierny III, MD pp71- 87. In Complications in Orthopaedics: Open Fractures; Levin, L.S. (ed). AAOS monograph Series; Amer. Acad. Orthop Surg, Rosemont, IL, 2010. Here, Dr. Cierny presents his classification systems and treatment algorithms which are among the principal advances in the management of infection following open fractures – osteomyelitis with micro-necrosis; osteomyelitis with macro-necrosis; fixation strategies; chronic_infection; staged treatment options.
[...] for the primary, wound pathogen(s). For us, NPWT is extremely helpful in managing acute /peri-operative wounds. However, we find it of limited value in the chronic-wound scenario unless the wound has [...]
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[...] culture results stemming from biopsies of exposed granulating surfaces and/or wounds, themselves. Surgery of open fractures is an example of contaminated-dirty surgery. The risk of subsequent infection increases with the amount of tissue devitalization, the extent [...]
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