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Posttraumatic Reconstruction of the Foot and Ankle in the Face of Active Infection.

Abstract Posttraumatic infection of the foot and ankle is a challenging issue for orthopedic surgeons. Making the diagnosis often requires combining laboratory and radiologic testing, patient examination, and history. Patient comorbidities should be identified and optimized whenever possible. Treatment must combine effective antibiotic therapy with thorough debridement of the infected zone. Reconstruction often requires a 2-staged approach using antibiotic spacers and temporary external fixation, with the goal of obtaining a functional, pain-free limb that is free of infection.
PMID
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Authors

Mayor MeshTerms

Osteomyelitis

Keywords

Antibiotic spacer

External fixator

Osteomyelitis

Posttraumatic

Reconstruction

Journal Title the orthopedic clinics of north america
Publication Year Start




PMID- 28336047
OWN - NLM
STAT- MEDLINE
DA  - 20170324
DCOM- 20170418
LR  - 20170418
IS  - 1558-1373 (Electronic)
IS  - 0030-5898 (Linking)
VI  - 48
IP  - 2
DP  - 2017 Apr
TI  - Posttraumatic Reconstruction of the Foot and Ankle in the Face of Active
      Infection.
PG  - 249-258
LID - S0030-5898(16)30168-7 [pii]
LID - 10.1016/j.ocl.2016.12.012 [doi]
AB  - Posttraumatic infection of the foot and ankle is a challenging issue for
      orthopedic surgeons. Making the diagnosis often requires combining laboratory and
      radiologic testing, patient examination, and history. Patient comorbidities
      should be identified and optimized whenever possible. Treatment must combine
      effective antibiotic therapy with thorough debridement of the infected zone.
      Reconstruction often requires a 2-staged approach using antibiotic spacers and
      temporary external fixation, with the goal of obtaining a functional, pain-free
      limb that is free of infection.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Jonard, Brandon
AU  - Jonard B
AD  - Summa Health System, Department of Orthopedic Surgery, 444 North Main Street,
      Akron, OH 44309, USA.
FAU - Dean, Erin
AU  - Dean E
AD  - Summa Health System, Department of Orthopedic Surgery, 444 North Main Street,
      Akron, OH 44309, USA; Crystal Clinic Orthopedic Center, 1310 Corporate Drive,
      Hudson, OH 44236, USA. Electronic address: [email protected]
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20170214
PL  - United States
TA  - Orthop Clin North Am
JT  - The Orthopedic clinics of North America
JID - 0254463
RN  - 0 (Anti-Bacterial Agents)
SB  - AIM
SB  - IM
MH  - Ankle Injuries/*complications
MH  - Anti-Bacterial Agents/*pharmacology
MH  - Foot Injuries/*complications
MH  - Humans
MH  - Orthopedic Procedures/*methods
MH  - *Osteomyelitis/diagnosis/etiology/therapy
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Antibiotic spacer
OT  - External fixator
OT  - Osteomyelitis
OT  - Posttraumatic
OT  - Reconstruction
EDAT- 2017/03/25 06:00
MHDA- 2017/04/19 06:00
CRDT- 2017/03/25 06:00
AID - S0030-5898(16)30168-7 [pii]
AID - 10.1016/j.ocl.2016.12.012 [doi]
PST - ppublish
SO  - Orthop Clin North Am. 2017 Apr;48(2):249-258. doi: 10.1016/j.ocl.2016.12.012.
      Epub 2017 Feb 14.

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