Abstract
Prevention of wound sepsis remains the prime objective in the management of open fractures. External fixation is the gold standard. Osteomyelitis has been divided into acute, subacute or chronic, based on the time of disease onset. Acute osteomyelitis develops within two weeks after disease onset, subacute osteomyelitis within one to several months and chronic osteomyelitis after a few months. The more recent Cierny-Mader staging system is based on the status of the disease process. The surgical treatment depends on the stage of infection. Empiric antibiotic therapy is not usually recommended.
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Bibliografia
Calhoun JH, Cierny G, Holtom P et al. (1999) Symposium: current concepts in the management of osteomyelitis. Contemp Orthop 28(2):157–185
Roberts CS, Pape H-C, Jones AL et al. (2005) Damage control orthopaedics: evolving concepts in the treatment of patients who have sustained orthopaedic trauma. J Bone Jt Surg 87(2):434–449
Lazzarini L, Mader JT, Calhoun JH (2001) Osteomyelitis in long bones: current concepts review. J Bone Jt Surg Am 86:2305–2318
Hashmi MA, Norman P, Saleh M (2004) The management of chronic osteomyelitis using the Lautenbach method. J Bone Jt Surg Br 86(2):269–275
Catagni MA, Maiocchi B (1998) Treatment of fractures, non-union, and bone loss of the tibia with the Ilizarov method. Smith & Nephew, London, p 90
Giannoudis PV, Faour O, Goff T et al. (2011) Masquelet technique for the treatment of bone defects: tips-tricks and future directions. Injury 42(6):591–598
Archdeacon MT, Messerschmitt P (2006) Modern Papineau technique with vacuum-assisted closure. J Orthop Trauma 20(2):134–137
Masquelet AC, Fitoussi F, Begue T, Muller GP (2000) Reconstruction of the long bones by the induced membrane and spongy autograft. Ann Chir Plast. Esthét 45(3):346–353
Gualdrini G, Barchetti M, Trono M, Palumbi P (2000) Intramedullary reaming in the treatment of chronic osteomyelitis of the femur and tibia. Chir Organi Mov 85(3):257–263
Kim DH, Rhim R (2009) Prospective study of iliac crest bone graft harvest site pain and morbidity. Spine J 9(11):886–892
Karargyris O, Polyzois VD, Karabinas P et al. (2013) Papineau debridement, Ilizarov bone transport, and negative-pressure wound closure for septic bone defects of the tibia. Eur J Orthop Surg Traumatol 26(6):1013–1017
Termaat MF, Raijmakers PG, Scholten HJ et al. (2005) The accuracy of diagnostic imaging for the assessment of chronic osteomyelitis: a systematic review and meta-analysis. J Bone Jt Surg 87(11):2464–2471
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Gli autori Carlo Salomone, Giorgio Burastero, Giovanni Riccio, Andrea Antonini e Alessandro Rita dichiarano di non aver alcun conflitto d’interesse.
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Salomone, C., Burastero, G., Rita, A. et al. Le infezioni nelle fratture diafisarie. LO SCALPELLO 29, 49–54 (2015). https://doi.org/10.1007/s11639-015-0100-5
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DOI: https://doi.org/10.1007/s11639-015-0100-5