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Impact of Infection on Fracture Fixation
Michael Willey1, Matthew Karam1
1Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA.
Abstract:
Surgical site infection can be a devastating complication that results in significant morbidity in patients who undergo operative fixation of fractures. Reducing the rate of infection and wound complications in high-risk trauma patients by giving early effective antibiotics, improving soft tissue management, and using antiseptic techniques is a common topic of discussion. Despite heightened awareness, there has not been a significant reduction in surgical site infection over the past 40 years. Patients should be treated aggressively to eliminate or suppress the infection, heal the fracture if there is a nonunion, and maintain the function of the patient.
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