Combined Orthoplastic Approach in Fracture-Related Infections of the Distal Tibia
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Patient | Age at Surgery and Sex | ASA Score | Smoker | CCI | Pseudoarthrosis | MAY Classification | Cierny–Mader Classification |
---|---|---|---|---|---|---|---|
1 | 63, M | 2 | No | 4 | Yes | Type 4 | Type 4 Bl |
2 | 62, M | 2 | No | 2 | No | Type 2 | Type 3 A |
3 | 50, M | 2 | Yes | 2 | Yes | Type 3 | Type 4 A |
4 | 45, M | 2 | Yes | 2 | Yes | Type 4 | Type 4 A |
5 | 57, M | 2 | No | 3 | No | Type 2 | Type 3 A |
6 | 33, M | 1 | Yes | 3 | Yes | Type 4 | Type 4 A |
7 | 64, F | 3 | Yes | 5 | Yes | Type 3 | Type 4 A |
8 | 33, M | 1 | Yes | 2 | No | Type 1 | Type 3 Bs |
9 | 59, M | 2 | No | 4 | Yes | Type 4 | Type 4 Bl |
10 | 58, M | 3 | No | 5 | Yes | Type 4 | Type 4 Bl |
11 | 18, F | 1 | No | 1 | No | Type 2 | Type 3 A |
12 | 46, F | 2 | Yes | 3 | No | Type 1 | Type 2 A |
13 | 30, M | 2 | Yes | 3 | No | Type 1 | Type 3 A |
Patient # | Surgery (Resection vs. Debridement) | Hardware Removal | Length of Resection (mm) | Local Antibiotic | Bacteria | Free Flap | Follow-Up (Months) | Recurrence of Infection | Complications |
---|---|---|---|---|---|---|---|---|---|
1 | Resection | Yes | 120 | MRSA + E. faecalis + P. stutzeri | ALT | 37 | No | ||
2 | Debridement | Yes | Gentamicin | MRSA | ALT | 25 | No | ||
3 | Resection | No | 60 | P. aeruginosa | Latissimus dorsi | 22 | No | ||
4 | Resection | Yes | 75 | E. coli | ALT | 33 | No | Hematoma | |
5 | Debridement | Yes | Rifampicin | E. faecium + MRSA | ALT | 18 | No | ||
6 | Resection | No | 63 | MS CoNS | ALT | 16 | No | Persistence of infection, DVT | |
7 | Resection | Yes | 60 | MR CoNS | ALT | 19 | No | ||
8 | Debridement | Yes | Rifampicin | MSSA | Latissimus dorsi | 27 | No | ||
9 | Resection | Yes | 100 | MRSA + P. aeruginosa + E. faecalis | ALT | 30 | No | ||
10 | Resection | No | 100 | MSSA | ALT | 34 | No | ||
11 | Resection | No | 110 | MRSA + E. coli + E. faecium | Latissimus dorsi | 29 | No | ||
12 | Debridement | Yes | Gentamicin | MS CoNS | Latissimus dorsi | 15 | No | ||
13 | Debridement | Yes | Rifampicin | MSSA | Latissimus dorsi | 13 | No | Hematoma |
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Sambri, A.; Pignatti, M.; Tedeschi, S.; Lozano Miralles, M.E.; Giannini, C.; Fiore, M.; Filippini, M.; Cipriani, R.; Viale, P.; De Paolis, M. Combined Orthoplastic Approach in Fracture-Related Infections of the Distal Tibia. Microorganisms 2022, 10, 1640. https://doi.org/10.3390/microorganisms10081640
Sambri A, Pignatti M, Tedeschi S, Lozano Miralles ME, Giannini C, Fiore M, Filippini M, Cipriani R, Viale P, De Paolis M. Combined Orthoplastic Approach in Fracture-Related Infections of the Distal Tibia. Microorganisms. 2022; 10(8):1640. https://doi.org/10.3390/microorganisms10081640
Chicago/Turabian StyleSambri, Andrea, Marco Pignatti, Sara Tedeschi, Maria Elisa Lozano Miralles, Claudio Giannini, Michele Fiore, Matteo Filippini, Riccardo Cipriani, Pierluigi Viale, and Massimiliano De Paolis. 2022. "Combined Orthoplastic Approach in Fracture-Related Infections of the Distal Tibia" Microorganisms 10, no. 8: 1640. https://doi.org/10.3390/microorganisms10081640