The Royal London Limb Reconstruction Service, Royal London Hospital, Barts Health NHS Trust, London, UK.
Department of Trauma & Orthopaedic Surgery, St George's University Hospitals NHS Foundation Trust, London, UK.
Eur J Orthop Surg Traumatol. 2021 Jul;31(5):957-966. doi: 10.1007/s00590-021-02956-8. Epub 2021 Mar 29.
Fracture-related infection (FRI) is one of the most challenging complications following operative management of fractures. It can have profound implications for the patient, can be associated with considerable morbidity and often lead to impaired outcomes. There are significant healthcare-related costs. In recent years, there has been significant progress towards developing preventative strategies. Furthermore, diagnostic algorithms and management protocols have recently been reported. Lack of a strong evidence base has previously hindered efforts to implement these and develop established standards of care. There are multiple aspects of care that need to be considered and a multi-disciplinary approach is recommended. In this narrative review, we present the most up-to-date recommendations in the prevention, diagnosis and management of FRI.
骨折相关感染（FRI）是骨折术后管理中最具挑战性的并发症之一。它可能对患者产生深远影响，与相当大的发病率相关，并经常导致预后受损。存在重大的与医疗保健相关的成本。近年来，在开发预防策略方面取得了重大进展。此外，最近还报告了诊断算法和管理方案。以前，缺乏强有力的证据基础一直阻碍了实施这些措施和制定既定护理标准的努力。需要考虑多个护理方面，建议采用多学科方法。在这篇叙述性综述中，我们提出了 FRI 的预防、诊断和管理方面的最新建议。
