Posttraumatic Reconstruction of the Foot and Ankle in the Face of Active Infection.
Posttraumatic infection of the foot and ankle is a challenging issue for orthopedic surgeons. Making the diagnosis often requires combining laboratory and radiologic testing, patient examination, and history. Patient comorbidities should be identified and optimized whenever possible. Treatment must combine effective antibiotic therapy with thorough debridement of the infected zone. Reconstruction often requires a 2-staged approach using antibiotic spacers and temporary external fixation, with the goal of obtaining a functional, pain-free limb that is free of infection.
Summa Health System, Department of Orthopedic Surgery, 444 North Main Street, Akron, OH 44309, USA.
Brandon
B
Jonard
Summa Health System, Department of Orthopedic Surgery, 444 North Main Street, Akron, OH 44309, USA; Crystal Clinic Orthopedic Center, 1310 Corporate Drive, Hudson, OH 44236, USA. Electronic address: erindean@crystalclinic.com.
Erin
E
Dean
D016512:Ankle Injuries / Q000150:complications*; D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D018409:Foot Injuries / Q000150:complications*; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods*; D010019:Osteomyelitis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents
Antibiotic spacer; External fixator; Osteomyelitis; Posttraumatic; Reconstruction