Militz Matthias, Ellenrieder Martin
Abteilung für Septische und Rekonstruktive Chirurgie, BG Unfallklinik Murnau, Prof.-Küntscher-Straße 8, 82418, Murnau, Deutschland.
Orthopädische Klinik und Poliklinik, Doberaner Straße 142, 18057, Rostock, Deutschland.
Chirurg. 2021 Oct;92(10):963-972. doi: 10.1007/s00104-021-01377-x. Epub 2021 Mar 26.
The infection rate after fracture osteosynthesis depends on many factors. The postoperative infection rate after osteosynthesis (inpatient treatment) was between 1.15% and 2.04% for the years 2017-2019. The total number of postoperative wound infections was estimated at around 225,000 annually in 2018. Essential factors for reducing the infection rate after osteosynthesis are the favorable choice of the timing of the operation and the surgical procedure as well as the treatment of relevant secondary diseases. If a postoperative wound infection is suspected critical assessment of the wounds in the postoperative course is essential in order to be able to identify and treat this complication at an early stage. After osteosynthesis, early diagnosis of a peri-implant infection and differentiated surgical and antibiotic treatment are the prerequisites for the best possible treatment success.
骨折内固定术后的感染率取决于多种因素。2017年至2019年期间，内固定术后（住院治疗）的术后感染率在1.15%至2.04%之间。2018年，每年术后伤口感染的总数估计约为225,000例。降低内固定术后感染率的关键因素包括手术时机和手术方式的合理选择以及相关合并症的治疗。如果怀疑术后伤口感染，在术后过程中对伤口进行严格评估至关重要，以便能够早期识别和治疗这种并发症。内固定术后，早期诊断植入物周围感染以及进行有针对性的手术和抗生素治疗是取得最佳治疗效果的前提条件。
