McCarthy James J, Dormans John P, Kozin Scott H, Pizzutillo Peter D
Shriners Hospital, Pennsylvania, USA.
Instr Course Lect. 2005;54:515-28.
Pediatric musculoskeletal infections are common disorders that can result in significant disability. Because the understanding, diagnosis, and treatment of infections of the bones, joints, and soft tissues have continued to improve over time, it is important for orthopaedic surgeons to have an understanding of the etiology, diagnosis, basic treatment principles, and recent advancements to achieve successful outcomes. Although each infectious process is unique, there are certain treatment principles that apply to all pediatric musculoskeletal infections. These include prevention, a prompt and accurate diagnosis, and timely medical and/or surgical intervention. Continued evaluations are mandatory to assure good long-term outcomes. Because the effects of infection may last beyond the acute episode in pediatric patients, long-term follow-up is needed to assess for late sequelae such as angular deformities and limb-length inequalities.
小儿肌肉骨骼感染是常见疾病，可导致严重残疾。随着时间的推移，对骨骼、关节和软组织感染的认识、诊断和治疗不断改进，骨科医生了解病因、诊断、基本治疗原则和最新进展对于取得成功的治疗结果很重要。尽管每个感染过程都是独特的，但有一些治疗原则适用于所有小儿肌肉骨骼感染。这些原则包括预防、及时准确的诊断以及及时的药物和/或手术干预。持续评估对于确保良好的长期治疗结果是必不可少的。由于感染对小儿患者的影响可能在急性期过后仍然存在，因此需要长期随访以评估诸如角畸形和肢体长度不等之类的晚期后遗症。
