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Infections Complicating Orthopedic Surgery and Implants

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Healthcare-Associated Infections in Children

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Abstract

Given the frequent utilization of devices and implants to provide stability and/or correct deformity, infections complicating orthopedic surgery in children can present management challenges. In these cases it is necessary to ensure both the eradication of infection and the successful healing of the initial orthopedic intervention. This requires a balance between thorough debridement of infected tissue and avoidance of unnecessary surgical procedures and attendant complications. Furthermore, in the skeletally immature child, consideration must be given to ensuring continued optimal growth. Such infections are best managed through a multidisciplinary approach including the orthopedic surgeon, infectious disease specialist, and generalist guided by laboratory data, clinical assessment, and risks/benefits of implant removal.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Division of Pediatric Orthopedic Surgery, Baylor College of Medicine, Houston, TX, USA

    Zachary Stinson & Scott Rosenfeld

  2. Department of Pediatrics, Section of Infectious Diseases, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA

    J. Chase McNeil

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  1. Zachary Stinson
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  2. Scott Rosenfeld
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  3. J. Chase McNeil
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Correspondence to J. Chase McNeil .

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Editors and Affiliations

  1. Department of Pediatrics, Section of Infectious Diseases, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA

    J. Chase McNeil

  2. Department of Pediatrics, Section of Infectious Diseases, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA

    Judith R. Campbell

  3. Department of Pediatrics, Baylor College of Medicine and The Children’s Hospital of San Antonio, San Antonio, TX, USA

    Jonathan D. Crews

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Stinson, Z., Rosenfeld, S., McNeil, J.C. (2019). Infections Complicating Orthopedic Surgery and Implants. In: McNeil, J., Campbell, J., Crews, J. (eds) Healthcare-Associated Infections in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-98122-2_9

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