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Twenty common errors in the prevention, diagnosis, and treatment of fracture-related infection (FRI)
Goran Georgievski1, Nike Walter2, Ronald Man Yeung Wong3
1Department of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, Justus Liebig University of Giessen, Giessen, Germany.
Abstract:
Fracture-related infections are among the most serious complications following osteosynthesis. They jeopardize fracture healing, prolong treatment duration, and can lead to loss of function or even amputation. Despite established standards, avoidable errors continue to occur in clinical practice. Fracture-related infections not only compromise healing but also significantly reduce life expectancy, and increase morbidity and mortality. The standardization of procedures is essential to improve outcomes and ensure consistent high-quality care. This article describes 20 common errors in the prevention, diagnosis, and treatment of fracture-related infection. For each error, the clinical consequences and practical recommendations are provided. The aim is to improve treatment quality and patient safety by identifying and avoiding typical decision-making pitfalls. Consistent standardization of surgical and microbiological procedures, interdisciplinary collaboration, and structured follow-up care are essential prerequisites for successful infection management.
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