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Published on: March 14, 2019
Infected nonunion of the long bones
Peter A A Struijs1, Rudolf W Poolman, Mohit Bhandari
1Department of Orthopaedic Surgery, Academic Medical Centre; Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands. p.a.struijs@amc.uva.nl
Journal of Orthopaedic Trauma
|September 1, 2007
Summary
Infected nonunions of long bones are challenging orthopedic cases. This review synthesizes evidence for optimal surgical management strategies.
Area of Science:
- Orthopedic Surgery
- Infectious Disease
- Bone Healing
Background:
- Infected nonunion is defined as persistent infection and failure of fracture healing.
- Long bone infected nonunions, particularly in the femur, are rare but complex, often resulting from severe trauma or post-operative complications.
- Factors like extensive bone loss, exposed bone, chronic infection, and comorbidities significantly complicate treatment.
Purpose of the Study:
- To systematically review the highest level of evidence regarding the operative management of infected nonunions in long bones.
Main Methods:
- Systematic review of existing literature.
- Analysis of operative strategies for infected long bone nonunions.
Main Results:
- The review synthesizes current evidence on surgical interventions.
- Identifies key challenges and factors influencing outcomes in managing these complex cases.
Conclusions:
- Optimal treatment strategies for infected long bone nonunions require careful consideration of multiple complicating factors.
- Further research is needed to establish definitive treatment guidelines.
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