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Auteur Pedro Berjano
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Ajouter le résultat dans votre panier Affiner la rechercheSuccessful treatment of infected wound dehiscence after minimally invasive locking-plate osteosynthesis of tibial pilon and calcaneal fractures by plate preservation, surgical debridement and antibiotics / Pedro Berjano in The Foot, 33 (Décembre 2017-février 2018)
[article]
in The Foot > 33 (Décembre 2017-février 2018) . - p. 44-47
Titre : Successful treatment of infected wound dehiscence after minimally invasive locking-plate osteosynthesis of tibial pilon and calcaneal fractures by plate preservation, surgical debridement and antibiotics Type de document : article de périodique Auteurs : Pedro Berjano, Auteur ; [et al.], Auteur Année de publication : 2017 Article en page(s) : p. 44-47 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:I:Infection de plaie:Infection de plaie / thérapie
[Thésaurus Mesh]Fractures osseuses
[Thésaurus Mesh]Infection de plaie
[Thésaurus Mesh]Ostéosynthèse
[Thésaurus Mesh]Pied
[Thésaurus HELB]:Paramédical:Pilon tibialMots-clés : Osteosynthesis Fractures Foot Tibial pilon Calcaneaus Minimally invasive plate osteosynthesis Infected wound Résumé : Objective: The aim is to present a case series that illustrates possible benefits from combining minimally invasive
plate osteosynthesis (MIPO), plastic surgery and antibiotic therapy, in order to treat and eradicate infection in
patients with tibial pilon or calcaneal fractures.
Methods: Eleven consecutive patients with dehiscence of the surgical wound in outcomes MIPO using a Locking
Compression Plate (LCP) for tibial pilon, or calcaneus fractures. The patients had developed a documented
infection of the surgical wound. All patients were treated and followed-up by the multidisciplinary team with the
orthopedic surgeon, the plastic surgeon and the infectious disease physician. All patients were followed by the
plastic surgeon to treat the wound dehiscence, as well as by the orthopedic surgeon until fracture consolidation.
The duration of the antibiotic therapy was from 4 to 6 months. After 6 weeks, the intravenous treatment was
replaced by oral administration. The follow-up intervals were 15 days, 40 days, and 3 months.
Results: The average time of wound closure was 109 ± 60 days. The antibiotics used were chosen according to
the antibiogram. The antibiotic therapy had a duration of 4–6 months, and after 6 weeks, the therapy switched to
oral administration. At the 3-month follow-up, all patients had excellent outcomes and had returned to their
normal activity of daily living.
Conclusion: The patients in this study responded positively to a combination of MIPO, plastic surgery and antibiotic
therapy, confirming that multidisplinary treatment in association with titanium devices are able to
eradicate infection in short time.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
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