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[Correction of complex deformities in infectious conditions]
1Abteilung für Unfallchirurgie, Hand- und Wiederherstellungschirurgie, Universität Ulm. gebhard.suger@medizin.uni-ulm.de
Der Orthopade
|February 9, 2000
Summary
Skeletal deformities from infections require bone resection at the deformity
Area of Science:
- Orthopedic Surgery
- Infectious Disease
- Skeletal Biology
Context:
- Skeletal deformities arise from fracture treatment, congenital issues, and osteomyelitis.
- Postinfectious deformities necessitate careful operative technique selection based on infection course.
- Persistent germs in bone and compromised tissue quality are common challenges in revision surgeries.
Purpose:
- To outline surgical strategies for correcting skeletal deformities, particularly those linked to osteomyelitis.
- To emphasize the importance of addressing the infectious focus during deformity correction.
- To highlight the necessity of preoperative planning and surgical expertise for complex cases.
Summary:
- Deformity correction often requires resecting infected bone at the deformity's apex.
- If apex correction is not feasible, osteotomy translation is needed for mechanical axis alignment.
- Complex procedures demand meticulous planning and experience with external fixator-based deformity correction.
Impact:
- Informed surgical decision-making for complex skeletal deformities.
- Improved outcomes in treating postinfectious bone deformities.
- Guidance for surgeons on managing challenging cases involving compromised bone and soft tissues.