The tibia is the most frequent site of an open fracture, and treatment of adult posttraumatic osteomyelitis of the tibia represents a significant clinical problem that has been recognized for centuries.
Ancient modalities such as immobilization and debridement are still mainstays of therapy, and recent developments such as the use of antibiotics and muscle transfer have helped to improve outcome.
Osteomyelitis is classified based on the Cierny-Mader system to provide prognostic and therapeutic information.
Open fractures can be classified by the Gustilo system, again providing prognostic and therapeutic data.
Gustilo Type III fractures have a high likelihood of having infection develop.
Treatment principles include immobilization, thorough debridement, control of infection through antibiotic use, control of dead space, and soft tissue coverage.
Mots-clés Pascal : Fracture ouverte, Tibia, Complication, Ostéite, Historique, Symptomatologie, Epidémiologie, Classification, Traitement, Adulte, Homme, Os, Membre inférieur, Système ostéoarticulaire pathologie, Traumatisme, Ostéopathie, Infection, Bactériose
Mots-clés Pascal anglais : Open fracture, Tibia, Complication, Osteitis, Case history, Symptomatology, Epidemiology, Classification, Treatment, Adult, Human, Bone, Lower limb, Diseases of the osteoarticular system, Trauma, Bone disease, Infection, Bacteriosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0228007
Code Inist : 002B05B02J. Création : 16/11/1999.