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Related Experiment Video

Updated: Jan 20, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Infection after fracture fixation.

Sylvain Steinmetz¹, Diane Wernly¹, Kevin Moerenhout¹

¹Service of Orthopaedics and Traumatology, Lausanne University Hospital, Lausanne, Switzerland.

EFORT Open Reviews

|August 20, 2019

Summary

Infection after fracture fixation requires prompt diagnosis and combined surgical and antibiotic treatment. This review outlines specific strategies for managing these challenging orthopaedic infections.

Keywords:

antibiotic therapy biofilm fracture fixation device fracture-related infection internal fixation infection orthopaedic implant infection

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Last Updated: Jan 20, 2026

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Area of Science:

Orthopaedic Surgery
Infectious Diseases
Bone Healing

Background:

Post-operative infection following fracture fixation presents a significant challenge in orthopaedic surgery.
Such infections can impede bone healing and result in functional deficits.
Early detection and interdisciplinary management are crucial for successful outcomes.

Purpose of the Study:

To define infection after fracture fixation.
To outline clinical, radiological, and laboratory signs of these infections.
To present a treatment algorithm for optimal patient care.

Main Methods:

Review of current literature and clinical guidelines.
Analysis of diagnostic criteria for infection after fracture fixation.
Development of a structured treatment approach.

Main Results:

Infection after fracture fixation necessitates a distinct management strategy compared to prosthetic joint infections.
Intraoperative tissue sampling is vital for guiding antibiotic therapy.
Combined surgical intervention and appropriate antibiotic treatment are essential for infection eradication.

Conclusions:

A specific, interdisciplinary approach is required for managing infection after fracture fixation.
Timely diagnosis and targeted treatment are key to improving bone healing and function.
This review provides a framework for the comprehensive care of patients with these infections.