Abstract:
BACKGROUND:Ankle fractures are frequently occurring injuries. Despite the relatively simple operative technique, patients often suffer from postoperative complications. Little is known about postoperative treatment of implant-associated infections of the ankle. Therefore, this study shows and evaluates a treatment algorithm in long- and short-term outcomes compared to infection-free patients. METHODS:Data from patients of over 20 years of a level 1 trauma center and university hospital was retrospectively analyzed including age, gender, comorbidities, smoking status, fracture classification, number of revisions, length of in-patient stay due to fracture and infection, and results of microbiological specimen with the length of antibiotic treatment. Moreover, present long-term outcome was evaluated by the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score, the Ankle Osteoarthritis Score, and the Short Form 36 score and compared to a matched-pair infection-free patient cohort. RESULTS:Forty-four patients could be retrospectively evaluated (51% male, 49% women, mean age 46 ± 17 years). Most of the cases were Weber B fractures (38%) following an in-patient stay from 51 ± 4.3 days after primary treatment and 77 ± 10.0 days after secondary treatment in our hospital. Microbiological specimen showed in 77% Staphylococcus aureus with following intravenous antibiotic treatment for 13.9 ± 3.1 days in mean. Common comorbidities/risk factors were cardiovascular disease (28%), smoking (15%), and diabetes (18%). Cure of infection and clinical and radiographic osseous consolidation could be documented for all cases. Patients with implant-associated infections had significantly more risk factors than infection-free patients (1.1/0.33; p = .02 per patient). The matched-pair group showed significantly better long-term outcome in mean regarding the Ankle Osteoarthritis Score (2.0 ± 1.2/13.9 ± 4.7) and AOFAS hindfoot score (96.7 ± 1.9/87.3 ± 3.4). CONCLUSION:Immediate revision surgery with aggressive debridement, microbiological diagnostics, antibiotic therapy, and use of a drain until osseous consolidation is reached with following removal of the implant in patients with implant-associated infections after ankle fracture and open reduction internal fixation lead to cure of infection and fair long-term outcome in all cases. Special care must be taken of risk factors like diabetes and smoking. TRIAL REGISTRATION:24/2008BO2.
journal_name
J Orthop Surg Resjournal_title
Journal of orthopaedic surgery and researchauthors
Ziegler P,Schlemer D,Flesch I,Bahrs S,Stoeckle U,Werner S,Bahrs Cdoi
10.1186/s13018-017-0608-xsubject
Has Abstractpub_date
2017-07-17 00:00:00pages
114issue
1issn
1749-799Xpii
10.1186/s13018-017-0608-xjournal_volume
12pub_type
杂志文章abstract:PURPOSE:To compare the time return to work and long-term results of tendoscopic versus open technique for de Quervain's disease. METHODS:From 2005 to 2013, either tendoscopic or open decompression was performed on 56 consecutive patients (56 wrists) with symptomatic de Quervain's disease despite a minimum of 3 months ...
journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/s13018-019-1393-5
更新日期:2019-11-12 00:00:00
abstract:BACKGROUND:Although differences in the results of the bone marrow stimulation technique between the knee and ankle have been reported, a detailed mechanism for those differences has not been clarified. The purpose of this study was to examine whether morphological differences between the knee and ankle joint affect the...
journal_title:Journal of orthopaedic surgery and research
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abstract:BACKGROUND:Two-stage exchange arthroplasty is still the preferred treatment choice for chronic PJI. However, the results remain unpredictable. We analyzed the treatment success of patients with an infected hip prosthesis, who were treated according to a standardized algorithm with a multidisciplinary team approach and ...
journal_title:Journal of orthopaedic surgery and research
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更新日期:2019-03-13 00:00:00
abstract:BACKGROUND:Long-term success reports by Dr. Ponseti with the Ponseti method in the treatment of congenital idiopathic clubfoot have led to a renewed interest in this method among pediatric orthopedists. The purpose of this study is to evaluate mid-term effectiveness of Ponseti method for the treatment of congenital idi...
journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/1749-799X-6-3
更新日期:2011-01-12 00:00:00
abstract:: Tuberculosis of symphysis pubis is a rare condition with hardly any report of such cases in the last decade. It is necessary to distinguish the entity from more common ones like Osteitis pubis and Osteomyelitis of pubis symphysis by urgent means in order to start the treatment early and thereby minimize morbidity and...
journal_title:Journal of orthopaedic surgery and research
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/s13018-015-0200-1
更新日期:2015-05-15 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/s13018-019-1160-7
更新日期:2019-05-03 00:00:00
abstract:BACKGROUND:In cases of poor bone quality, intraoperative torque measurement might be an alternative to preoperative dual-energy X-ray absorptiometry (DXA) to assess bone quality in total hip arthroplasty (THA). METHODS:Trabecular peak torque measurement was applied in 14 paired fresh frozen human femurs. Here, a 6.5 ×...
journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/s13018-014-0109-0
更新日期:2014-11-13 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/1749-799X-4-2
更新日期:2009-01-30 00:00:00
abstract:BACKGROUND:Minimally invasive surgical approaches are widely used for total hip arthroplasty (THA). However, potential problems related to a reduced visual field during surgery, such as implant malposition, neurovascular injury, and poor implant fixation, have been reported. In these situations, a shorter stem is easie...
journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/s13018-015-0192-x
更新日期:2015-04-21 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/s13018-016-0388-8
更新日期:2016-04-19 00:00:00
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journal_title:Journal of orthopaedic surgery and research
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更新日期:2020-10-14 00:00:00
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journal_title:Journal of orthopaedic surgery and research
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更新日期:2019-07-16 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
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更新日期:2021-01-28 00:00:00
abstract:BACKGROUND:The aim of the current paper is to evaluate the effects of robot-navigation-assisted core decompression compared with conventional core decompression surgery for early-stage osteonecrosis of the femoral head. METHODS:Twenty patients with a total of 36 hips who were diagnosed with Association Research Circul...
journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/s13018-019-1437-x
更新日期:2019-11-21 00:00:00
abstract:BACKGROUND:This study aimed to determine whether calcium gluconate exerts protective effects on osteoarthritis (OA) induced by anterior cruciate ligament (ACL) transection and partial medial meniscectomy. METHODS:Calcium gluconate was administered by mouth daily for 84 days to male ACL transected and partial medial me...
journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/1749-799X-9-14
更新日期:2014-03-07 00:00:00
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journal_title:Journal of orthopaedic surgery and research
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journal_title:Journal of orthopaedic surgery and research
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journal_title:Journal of orthopaedic surgery and research
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更新日期:2014-07-17 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
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更新日期:2011-08-16 00:00:00
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journal_title:Journal of orthopaedic surgery and research
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更新日期:2020-07-16 00:00:00
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journal_title:Journal of orthopaedic surgery and research
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更新日期:2018-07-03 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
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更新日期:2018-05-16 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/s13018-018-0781-6
更新日期:2018-04-05 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
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更新日期:2017-12-02 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章,meta分析
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更新日期:2017-08-16 00:00:00
abstract:BACKGROUND:Achilles sleeve avulsion usually occurs from pre-existing insertional Achilles tendinopathy, leaving a calcific spur at the insertional site. The purpose of this study was to introduce a new technique using the spur base on the insertional site to drill the suture tunnel to repair Achilles sleeve avulsion. ...
journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
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更新日期:2020-06-17 00:00:00
abstract:BACKGROUND:Recently, the excellent outcomes of temporary fixation of C1-2 without fusion in the treatment of odontoid fracture had been reported. It is still unclear if this technique could achieve the equivalent outcomes as the golden standard technique of anterior screw fixation. The objective of this study is to com...
journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/s13018-017-0702-0
更新日期:2018-01-08 00:00:00