Complications in ankle fracture surgery:
Gespeichert in:
| Format: | Abschlussarbeit Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Oslo
Informa Health
2015
|
| Schriftenreihe: | Acta orthopaediaca
Supplementum ; 358 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | 32 S. Ill., graph. Darst. |
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| 245 | 1 | 0 | |a Complications in ankle fracture surgery |c Mikko Ovaska |
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Datensatz im Suchindex
| _version_ | 1804153068087934976 |
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| adam_text | Titel: Complications in ankle fracture surgery
Autor: Ovaska, Mikko
Jahr: 2015
Acta Orthopaedica (Suppl 358) 2015; 86
1
Contents
ACKNOWLEDGEMENTS, 2
LIST OF ORIGINAL PUBLICATIONS, 2
ABBREVIATIONS, 2
INTRODUCTION, 3
REVIEW OF THE LITERATURE, 4
Epidemiology of ankle fractures, 4
Operative treatment of ankle fractures, 4
Classification of ankle fractures, 4
Fixation methods, 4
Locked plating systems, 4
Syndesmosis, 5
Posterior malleolus, 5
Vertical fracture of the medial malleolus, 5
Postoperative immobilization and weight bearing, 6
Outcome of ankle fracture surgery, 6
Complications in ankle fracture surgery, 6
Wound complications and surgical site infection (SSI), 6
Malreduction, loss of reduction, and post-traumatic
osteoarthritis, 7
Other complications, 8
Patients at higher risk for postoperative complications, 9
Hardware related infection, 9
General principles, 10
Exposed hardware and biofilm, 10
Removal or retention of infected hardware? 10
Salvage of exposed hardware, 10
Flap reconstruction for soft-tissue defects in the ankle, 10
Timing of flap coverage, 11
Negative pressure wound therapy (NPWT), 11
Flap coverage in the salvage of infected hardware, 11
AIMS OF THE STUDY, 12
PATIENTS AND METHODS, 13
Identification of the study population, 13
Treatment protocol during the study period, 13
Identification of deep postoperative infection, 13
Indications for surgical debridement following deep infec-
tion, 13
Study design, 13
Radiological evaluation, 13
Definition of treatment failure and flap-related complica-
tion, 13
Outcome measurements, 13
Statistical analyses, 14
RESULTS, 17
Incidence of early reoperation following ankle fracture sur-
gery, 17
Indications for early reoperation, 17
Results of early reoperation, 18
Incidence of deep SSI following ankle fracture operations, 18
Most common causative pathogens, 18
Risk factors for deep SSI, 18
Flap reconstruction for hardware exposure following deep
ankle infection, 18
The outcome of patients with flap reconstruction, 19
Incidence of treatment failure following deep SSI, 20
Risk factors for treatment failure following deep SSI, 20
DISCUSSION, 21
The most important complications, 21
Recognition of red flags , 22
Ankle fracture surgery - where do we go wrong? 22
Soft-tissue reconstruction for infected ankle fractures, 23
Hardware removal, 23
The outcome of patients with an infected ankle fracture, 23
Multidisciplinary musculoskeletal infection team, 24
Limitations and strengths of the study, 24
Future aspects, 24
CONCLUSIONS, 26
REFERENCES, 27
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| spelling | Complications in ankle fracture surgery Mikko Ovaska Oslo Informa Health 2015 32 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Acta orthopaediaca : Supplementum 358 Helsinki, Univ., Diss., 2014 (DE-588)4113937-9 Hochschulschrift gnd-content Ovaska, Mikko Sonstige oth Acta orthopaediaca Supplementum ; 358 (DE-604)BV019765911 358 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027844131&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| title | Complications in ankle fracture surgery |
| title_auth | Complications in ankle fracture surgery |
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| title_full | Complications in ankle fracture surgery Mikko Ovaska |
| title_fullStr | Complications in ankle fracture surgery Mikko Ovaska |
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