title: Surgical debridement to optimise wound conditions and healing.
abstract: Different treatment strategies are available for bone, joint and soft tissue infections, including use of local antibiotics; negative pressure wound therapy; one-stage, two-stage or multi-stage revisions; or open wound therapy. All methods have one principle in common: adequate surgical debridement is the prerequisite for successful treatment of bone, joint and soft tissue infections. According to the different textures of healthy, infected or necrotic tissue, special techniques are used. In this article we will describe the clinical presentation of necrotic and non-vital tissue in skin, soft tissue and bone and appropriate techniques of debridement.
authors.affiliation: Septische Knochen- und Weichteilchirurgie, Schön Klinik Hamburg Eilbek, Hamburg, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Diefenbeck
authors.forename: Nils
authors.initials: N
authors.lastname: Haustedt
authors.forename: Hergo Gk
authors.initials: HG
authors.lastname: Schmidt
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001458:Bandages; D001842:Bone and Bones / Q000473:pathology / Q000601:surgery; D003646:Debridement; D062109:Dermatologic Surgical Procedures; D005205:Fascia / Q000473:pathology; D000071938:Fasciotomy; D005260:Female; D006406:Hematoma / Q000601:surgery; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000473:pathology / Q000601:surgery; D009336:Necrosis; D010019:Osteomyelitis / Q000209:etiology / Q000601:surgery*; D012867:Skin / Q000473:pathology; D012871:Skin Diseases / Q000601:surgery; D018461:Soft Tissue Infections / Q000628:therapy*; D040521:Subcutaneous Tissue / Q000473:pathology / Q000601:surgery; D013524:Surgical Flaps; D013978:Tibial Fractures / Q000150:complications / Q000601:surgery; D014945:Wound Healing; D014946:Wound Infection / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Debridement; Osteomyelitis; Skin and soft tissue infection