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Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Video

Updated: Jun 14, 2026

Treatment with Vancomycin Loaded Calcium Sulphate and Autogenous Bone in an Improved Rabbit Model of Bone Infection
09:09

Treatment with Vancomycin Loaded Calcium Sulphate and Autogenous Bone in an Improved Rabbit Model of Bone Infection

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Treatment Options in Managing Infections Following Calcaneal Fractures: A Systematic Review.

Giacomo Capece1,2,3, Chiara Comisi1,2, Guido Bocchino1,2

  • 1Orthopaedics and Trauma Surgery Unit, Catholic University of the Sacred Heart, 00168 Rome, Italy.

Life (Basel, Switzerland)
|March 28, 2026
PubMed
Summary

Infectious complications are a significant risk after calcaneal fracture surgery, impacting outcomes. Managing these infections requires careful planning and may involve implant removal and antibiotics.

Keywords:
ORIFcalcaneal fracturefoot and ankle traumafracture-related infectionminimally invasive surgerypost-operative infectionsoft tissue complicationssurgical site infectionsystematic review

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Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Infectious Disease Management

Background:

  • Calcaneal fractures present complex challenges with high rates of soft tissue damage.
  • Post-operative infection is a major complication, severely impacting patient morbidity and functional recovery.
  • Despite surgical advancements, managing infectious complications remains critical.

Purpose of the Study:

  • To systematically review the incidence of infectious complications after surgical treatment of calcaneal fractures.
  • To analyze current management strategies and their clinical impact.
  • To identify factors influencing infection risk and outcomes.

Main Methods:

  • Systematic literature search of MEDLINE, Scopus, and Web of Science up to May 2025.
  • Inclusion of RCTs and cohort studies on adult patients undergoing surgical calcaneal fracture treatment.
  • Data extraction on demographics, fracture types, surgical methods, infection rates, pathogens, management, and outcomes.

Main Results:

  • 40 studies (5343 patients) analyzed; 9.4% overall post-operative infection rate (6.3% superficial, 3.0% deep).
  • Sanders type IV fractures and open fractures showed higher infection rates.
  • Deep infections often necessitated implant removal, prolonged antibiotics, and further surgery, leading to worse functional outcomes.

Conclusions:

  • Infectious complications are a significant concern in surgically treated calcaneal fractures, especially with severe patterns and open injuries.
  • Deep infections lead to substantial morbidity and poorer functional results.
  • Risk factor optimization, surgical planning, and minimally invasive techniques are crucial for reducing infection rates.