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Published on: January 24, 2018
Sepsis and osteomyelitis about the ankle joint
D B Thordarson1, E Ahlmann, L E Shepherd
1Department of Orthopaedics, University of Southern California Keck School of Medicine, Los Angeles, California, USA.
Abstract:
Sepsis and osteomyelitis about the ankle joint present a challenging clinical problem. Osteomyelitis usually follows open fracture of the distal tibia, often with a pilon fracture component. This article outlines the prevention of osteomyelitis in these difficult fractures. Treatment of subsequent osteomyelitis and sepsis, including the authors' experiences, is discussed. Septic ankle arthritis can occur hematogenously. In some patients, the optimal treatment for concomitant osteomyelitis and sepsis is a below knee amputation.
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