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Knochendefekte und Pseudarthrosen pp 115–127Cite as

Infizierter Knochen

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Zusammenfassung

Infektionen des Knochens stellen in Unfallchirurgie und Orthopädie eine Herausforderung dar. Präventiv kann die Zahl postoperativer Komplikationen bereits durch eine strenge Indikationsstellung zur Operation und die konsequente Einhaltung hygienischer Standards reduziert werden. Um die Entwicklung einer chronischen Osteomyelitis zu vermeiden, ist die kompromisslose Behandlung postoperativer Komplikationen wesentlich. Das klinische Erscheinungsbild kann sehr unterschiedlich sein. Neben der radikalen Resektion avitaler Gewebeanteile und Implantate ist die testgerechte Antibiotikatherapie essenziell. Vor der Rekonstruktion von Knochen und Weichteilen ist die Optimierung von Begleiterkrankungen und der Durchblutung wesentlich. Die Erörterung der Therapievarianten in einem realistischen Zeitrahmen, die Umsetzung eines Behandlungsplans zusammen mit dem Patienten und die interdisziplinäre Abstimmung sind Grundlage für den Erfolg der u. U. umfangreichen und langdauernden Therapie.

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  1. Unfallchirurgie, Berufsgenossenschaftliche Unfallklinik, Murnau, Deutschland

    Dr. med Matthias Militz & Prof. Dr. med. Volker Bühren

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  2. Prof. Dr. med. Volker Bühren
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  1. Klinik und Poliklinik für Unfallchirurgie, TU München Klinikum rechts der Isar, München, Germany

    Peter Biberthaler

  2. Experimentelle Unfallchirurgie, TU München Klinikum rechts der Isar, München, Germany

    Martijn van Griensven

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Militz, M., Bühren, V. (2017). Infizierter Knochen. In: Biberthaler, P., van Griensven, M. (eds) Knochendefekte und Pseudarthrosen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-44991-8_9

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  • DOI: https://doi.org/10.1007/978-3-642-44991-8_9

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