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3Classification of fracture wound infection

Chronic fracture site infection

Chronic fracture wound infection

Late presentation, chronic infection is associated with extensive infection of tissues and dead bone, sometimes sequestered.
Treatment relies on

  • total surgical removal of all dead and infected tissue, including bone
  • removal of implants
  • placement of an antibiotic spacer
  • re-stabilization of the fracture, using external fixation
  • appropriate adjunctive antibiotic therapy

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