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Updated: Mar 2, 2026

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Published on: March 3, 2023
Local Antimicrobial Treatment in Orthopaedic Surgery
Antonia F Chen1,2, Heinz Winkler3,4
1Rothman Institute, Sidney Kimmel School of Medicine, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA, 19107, USA.
This special issue explains how local antimicrobials combat bone and joint infections. It covers their basic science, clinical evidence, and effectiveness against bacterial biofilm.
Area of Science:
- Orthopaedic surgery
- Infectious diseases
- Biomaterials science
Background:
- Local antimicrobial delivery systems are crucial for treating bone and joint infections.
- Understanding the mechanisms of action is essential for optimizing treatment efficacy.
- Evidence supporting the use of local antimicrobials in orthopaedic infections is growing.
Discussion:
- This issue delves into the fundamental science behind local antimicrobial agents used in orthopaedics.
- It critically reviews clinical data demonstrating the success of these targeted treatments.
- The role of local antimicrobials in eradicating challenging bacterial biofilm infections is explored.
Key Insights:
- Local antimicrobials offer a targeted approach to infection control in orthopaedic surgery.
- Basic science principles elucidate the efficacy of these agents against pathogens.
- Clinical evidence validates the use of local antimicrobials in managing bone and joint infections, particularly those involving biofilm.
Outlook:
- Future research should focus on novel antimicrobial formulations and delivery systems.
- Enhanced understanding of antimicrobial-biofilm interactions will guide treatment strategies.
- Continued clinical investigation is needed to solidify the role of local antimicrobials in preventing and treating orthopaedic infections.
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