Multidisciplinary management of the bone and joint infection complicating treatment of an open fracture of the lower limb.

Bone and joint infection Concertation pluridisciplinaire Couverture cutanée Coverage Fracture ouverte Infection ostéoarticulaire Lower limb Membre inférieur Multidisciplinary team meeting Open fracture

Journal

Annales de chirurgie plastique et esthetique
ISSN: 1768-319X
Titre abrégé: Ann Chir Plast Esthet
Pays: France
ID NLM: 8305839

Informations de publication

Date de publication:
Nov 2020
Historique:
received: 05 05 2020
accepted: 21 05 2020
pubmed: 18 8 2020
medline: 1 10 2021
entrez: 18 8 2020
Statut: ppublish

Résumé

Bone and joint infections (BJI) of the lower limb can cause functional sequelae and in some cases have an impact on patient's life prognostic. One of the main objectives of multidisciplinary consultation team meetings (MTM) in the treatment of bone and joint infections is to provide an appropriate medical-surgical care, pooling skills of different organ specialists: infectious disease physicians, microbiologists, orthopedic surgeons and plastic surgeons. Treatment is based on aggressive debridement, bone stabilization, adequate antibiotic therapy, long-term coverage of the loss of skin substance and close clinical monitoring. The authors present their multidisciplinary diagnostic and therapeutic approaches to BJI complicating an open fracture at a referent center in the management of complex bone and joint infections.

Identifiants

pubmed: 32800464
pii: S0294-1260(20)30093-5
doi: 10.1016/j.anplas.2020.05.012
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

380-393

Informations de copyright

Copyright © 2020 Elsevier Masson SAS. All rights reserved.

Auteurs

A Trimaille (A)

Plastic, reconstructive and esthetic surgery unit, CHRU de la Cavale Blanche, Université de Brest, Boulevard Tanguy Prigent, 29609 Brest Cedex, France. Electronic address: alexandra.trimaille@wanadoo.fr.

N Kerfant (N)

Plastic, reconstructive and esthetic surgery unit, CHRU de la Cavale Blanche, Université de Brest, Boulevard Tanguy Prigent, 29609 Brest Cedex, France.

A-S Henry (AS)

Plastic, reconstructive and esthetic surgery unit, CHRU de la Cavale Blanche, Université de Brest, Boulevard Tanguy Prigent, 29609 Brest Cedex, France.

P Ta (P)

Plastic, reconstructive and esthetic surgery unit, CHRU de la Cavale Blanche, Université de Brest, Boulevard Tanguy Prigent, 29609 Brest Cedex, France.

M Rouanet (M)

Plastic, reconstructive and esthetic surgery unit, CHRU de la Cavale Blanche, Université de Brest, Boulevard Tanguy Prigent, 29609 Brest Cedex, France.

D Le Nen (D)

Orthopedics and trauma surgery unit, CHRU de la Cavale Blanche, Université de Brest, Boulevard Tanguy Prigent, 29609 Brest Cedex, France.

E Stindel (E)

Orthopedics and trauma surgery unit, CHRU de la Cavale Blanche, Université de Brest, Boulevard Tanguy Prigent, 29609 Brest Cedex, France.

S Ansart (S)

Tropical and infectious disease unit, CHRU de la Cavale Blanche, Université de Brest, Boulevard Tanguy Prigent, 29609 Brest Cedex, France.

W Hu (W)

Plastic, reconstructive and esthetic surgery unit, CHRU de la Cavale Blanche, Université de Brest, Boulevard Tanguy Prigent, 29609 Brest Cedex, France.

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Classifications MeSH