Tratamiento quirúrgico de la infección relacionada con fracturas Parte I: desbridamiento óseo y de tejidos blandos

Matheus Lemos Azi; Carlos Olivier Valderrama-Molina; Alejandro Vallejo-Diaz; William Días-Belangero; Vincenzo Giordano; Guido Carabelli; Carlos Federico Sancineto

doi:10.58814/01208845.57

Autores/as

Matheus Lemos Azi Secretaria de Saúde do Estado da Bahia and Sociedade Beneficente Israelita Albert Einstein, Hospital Ortopédico do Estado, Salvador, Brasil. https://orcid.org/0000-0002-4456-6423
Carlos Olivier Valderrama-Molina Hospital Pablo Tobón Uribe, Servicio de Ortopedia, Medellín, Colombia. https://orcid.org/0000-0001-5921-2284
Alejandro Vallejo-Diaz Hospital Alma Máter de Antioquia, Departamento de Ortopedia y Traumatología, Medellín, Colombia. | Universidad Pontificia Bolivariana, Departamento de Ortopedia y Traumatología, Medellín, Colombia. https://orcid.org/0000-0003-4652-542X
William Días-Belangero Universidade Estadual de Campinas, School of Medical Sciences, Sao Paulo, Brazil. https://orcid.org/0000-0003-1838-1473
Vincenzo Giordano Hospital Municipal Miguel Couto, Orthopedics and Traumatology Service Prof. Nova Monteiro, Rio de Janeiro, Brazil. | Rede D’or São Luiz, Clínica São Vicente, Rio de Janeiro, Brazil. https://orcid.org/0000-0002-4429-312X
Guido Carabelli Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología Carlos E. Ottolenghi, Buenos Aires, Argentina. https://orcid.org/0000-0002-7049-0688
Carlos Federico Sancineto Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología Carlos E. Ottolenghi, Buenos Aires, Argentina. https://orcid.org/0000-0002-5190-4312

DOI:

https://doi.org/10.58814/01208845.57

Palabras clave:

Infección de herida quirúrgica, Fijación de fractura, Osteomielitis, Desbridamiento

Resumen

La infección relacionada con fracturas (IRF) es una complicación grave en el tratamiento quirúrgico de lesiones óseas traumáticas y ocurre con mayor frecuencia en pacientes con este tipo de lesiones que en aquellos llevados a cirugía de reemplazo articular electiva. El tratamiento quirúrgico de la IRF se basa en el desbridamiento meticuloso del hueso y los tejidos blandos, el manejo del espacio muerto, la reconstrucción de los defectos de tejidos blandos y la restauración de la estabilidad ósea en los pacientes con fracturas no consolidadas. Además, en algunos casos, se recomienda el uso de terapia antibiótica local. En este sentido, el objetivo de este artículo fue revisar los conceptos actuales de las técnicas quirúrgicas disponibles para el tratamiento quirúrgico de la IRF, haciendo énfasis en el desbridamiento del hueso y los tejidos blandos.

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