Initial treatment of severe soft-tissue injuries in closed and open fractures to prevent fracture-related infection

被引：0
作者：
von Rueden, Christian [1 ,2 ]
Wunder, Johannes [1 ]
Schirdewahn, Christoph [1 ]
Augat, Peter [2 ,3 ]
Hackl, Simon [4 ]
机构：
[1] Klinikum Weiden, Dept Trauma Surg Orthopaed & Hand Surg, D-92637 Weiden, Oberpfalz, Germany
[2] Paracelsus Med Univ, Inst Biomech, Salzburg, Austria
[3] BG Unfallklin Murnau, Inst Biomech, Murnau, Germany
[4] BG Unfallklin Murnau, Dept Trauma Surg, Murnau, Germany
来源：
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2024年 / 55卷
关键词：
Fracture; Soft tissue damage; Lesion; Fracture-related infection (FRI); Antibiotics; Negative pressure wound therapy (NPWT); Fracture fixation; Gustilo and Anderson classification; PRESSURE WOUND THERAPY; LOWER-LIMB FRACTURES; OPEN TIBIA FRACTURES; LOWER-EXTREMITY; SURGICAL DEBRIDEMENT; COMPARTMENT SYNDROME; MANAGEMENT; TRAUMA; TIME; AMPUTATION;
D O I：
暂无
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
The management of soft tissue damage during fracture treatment requires surgical proficiency and meticulous care adhering to established treatment protocols. This approach is paramount for minimizing the risk of potentially limb- or even life-threatening complications such as fracture-related infection (FRI) in all age groups. There is a general consensus on essential measures such as wound assessment, surgical debridement and early use of antibiotics. Treatment should always be based on the correct classification of the fracture and the corresponding soft tissue injury, but needs to be adapted to the individual patient considering general health status, secondary diagnoses and currently available treatment options.
引用
收藏
页数：7
相关论文
共 66 条
  • [1] Alt V, 2024, UNFALLCHIRURGIE, V127, P103, DOI 10.1007/s00113-023-01403-z
  • [2] Delayed presentation is no barrier to satisfactory outcome in the management of open tibial fractures
    Ashford, RU
    Mehta, JA
    Cripps, R
    [J]. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2004, 35 (04): : 411 - 416
  • [3] Bärtl S, 2023, UNFALLCHIRURGIE, V126, P707, DOI 10.1007/s00113-022-01200-0
  • [4] A Trial of Wound Irrigation in the Initial Management of Open Fracture Wounds
    Bhandari, Mohit
    Jeray, Kyle J.
    Petrisor, Brad A.
    Devereaux, P. J.
    Heels-Ansdell, Diane
    Schemitsch, Emil H.
    Anglen, Jeff
    Della Rocca, Gregory J.
    Jones, Clifford
    Kreder, Hans
    Liew, Susan
    McKay, Paula
    Papp, Steven
    Sancheti, Parag
    Sprague, Sheila
    Stone, Trevor B.
    Sun, Xin
    Tanner, Stephanie L.
    Tornetta, Paul, III
    Tufescu, Ted
    Walter, Stephen
    Guyatt, Gordon H.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2015, 373 (27) : 2629 - 2641
  • [5] A prospective evaluation of the clinical utility of the lower-extremity injury-severity scores
    Bosse, MJ
    MacKenzie, EJ
    Kellam, JF
    Burgess, AR
    Webb, LX
    Swiontkowski, MF
    Sanders, RW
    Jones, AL
    McAndrew, MP
    Patterson, BM
    McCarthy, ML
    Cyril, JK
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (01) : 3 - 14
  • [6] Timing of antibiotic administration, wound debridement, and the stages of reconstructive surgery for open long bone fractures of the upper and lower limbs
    Chan, James K-K
    Aquilina, Alexander L.
    Lewis, Sharon R.
    Rodrigues, Jeremy N.
    Griffin, Xavier L.
    Nanchahal, Jagdeep
    [J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2022, (04):
  • [7] ANTIBIOTIC PROPHYLAXIS IN THE MANAGEMENT OF OPEN FRACTURES A Systematic Survey of Current Practice and Recommendations
    Chang, Yaping
    Bhandari, Mohit
    Zhu, Kan Lun
    Mirza, Reza Donald
    Ren, Melody
    Kennedy, Sean Alexander
    Negm, Ahmed
    Bhatnagar, Neera
    Naji, Faysal N.
    Milovanovic, Lazar
    Fei, Yutong
    Agarwal, Arnav
    Kamran, Rakhshan
    Cho, Sung Min
    Schandelmaier, Stefan
    Wang, Li
    Jin, Lin
    Hu, Shiyun
    Zhao, Yanping
    Lopes, Luciane Cruz
    Wang, Mei
    Petrisor, Brad
    Ristevski, Bill
    Siemieniuk, Reed A. C.
    Guyatt, Gordon H.
    [J]. JBJS REVIEWS, 2019, 7 (02)
  • [8] Effect of Incisional Negative Pressure Wound Therapy vs Standard Wound Dressing on Deep Surgical Site Infection After Surgery for Lower Limb Fractures Associated With Major Trauma The WHIST Randomized Clinical Trial
    Costa, Matthew L.
    Achten, Juul
    Knight, Ruth
    Bruce, Julie
    Dutton, Susan J.
    Madan, Jason
    Dritsaki, Melina
    Parsons, Nick
    Fernandez, Miguel
    Grant, Richard
    Nanchahal, Jagdeep
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (06): : 519 - 526
  • [9] The epidemiology of open long bone fractures
    Court-Brown, CM
    Rimmer, S
    Prakash, U
    McQueen, MM
    [J]. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1998, 29 (07): : 529 - 534
  • [10] Blast and fragment injuries of the musculoskeletal system
    Covey, CDC
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2002, 84A (07) : 1221 - 1234
1234567