Krez Alexandra N, Anastasio Albert T, Adams Samuel B
Department of Orthopedic Surgery, Duke University Hospital, 2301 Erwin Road, Durham, NC 27710, USA.
Department of Orthopedic Surgery, Duke University Hospital, Duke University School of Medicine, 2301 Erwin Road, Durham, NC 27710, USA.
Foot Ankle Clin. 2025 Mar;30(1):191-200. doi: 10.1016/j.fcl.2024.06.011. Epub 2024 Aug 7.
Fracture-related infection (FRI) poses significant challenges in the management of foot and ankle fractures, potentially leading to functional impairment and heightened health care expenses. This review addresses the diagnosis, risk factors, and management strategies for FRI. Surgical management involves multidisciplinary collaboration, emphasizing debridement, antimicrobial therapy, and implant removal when indicated. Specific considerations for limited soft tissue coverage, tenuous blood supply, and fracture type in the foot and the ankle underscore the importance of tailored approaches to optimize outcomes and reduce complications in FRI management.
骨折相关感染(FRI)在足踝部骨折的治疗中带来了重大挑战,可能导致功能障碍并增加医疗费用。本综述阐述了FRI的诊断、危险因素及管理策略。手术治疗需要多学科协作,重点在于清创、抗菌治疗以及在必要时取出植入物。针对足踝部软组织覆盖有限、血供脆弱和骨折类型的特殊考量凸显了采用个性化方法以优化治疗效果并减少FRI治疗并发症的重要性。