Mehta Devan D, Leucht Philipp
Department of Orthopedic Surgery, NYU Grossman School of Medicine-NYU Langone Orthopedic Hospital, New York, NY.
OTA Int. 2024 Jun 5;7(4 Suppl):e309. doi: 10.1097/OI9.0000000000000309. eCollection 2024 Jun.
Infection and chronic post-traumatic osteomyelitis of the tibia after open fracture are complex problems that cause significant morbidity and threaten the viability of a limb. Therefore, it is of utmost importance for the orthopaedic surgeon to understand both patient and treatment factors that modify the risk of developing these disastrous complications. Infection risk is largely based on severity of open injury in addition to inherent patient factors. Orthopaedic surgeons can work to mitigate this risk with prompt antibiotic administration, thorough and complete debridement, expedient fracture stabilization, and early wound closure. In the case osteomyelitis does occur, the surgeon should use a systematic multidisciplinary approach for eradication.
开放性骨折后胫骨感染及慢性创伤后骨髓炎是复杂问题，会导致严重发病并威胁肢体存活。因此，骨科医生了解影响发生这些灾难性并发症风险的患者因素和治疗因素至关重要。除患者固有因素外，感染风险很大程度上取决于开放性损伤的严重程度。骨科医生可通过及时给予抗生素、彻底清创、迅速稳定骨折及早期闭合伤口来降低此风险。若确实发生骨髓炎，外科医生应采用系统的多学科方法进行根除。
