There are many varieties of ankle fracture that can occur. Tips and Instructions from the Cast Room.Ankle Fracture with Unstable Syndesmosis.Patients with Sensation or Circulation Loss in the Feet.Midfoot Impingement Syndrome and Degenerative Joint Disease of the Midfoot.Excess Body Weight and Foot and Ankle Problems.Amputation is usually performed only as a life-saving operation for a severe infection that is out of control. In very rare cases, amputation of the infected limb may be considered. Occasionally, a patient may need to take antibiotics for the rest of their life. It may require long-term antibiotic treatment, as well as several surgeries.
Most patients will have to take antibiotics for 6 to 12 weeks.Ī bone infection can be hard to eliminate. An infectious disease specialist may work with your doctor to determine the appropriate antibiotics.
Once the type of bacteria is identified, your doctor can choose the most effective antibiotics to treat the infection. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2008: pp. Reproduced from Zalavras CG, Marcus RE, Levin LS, Patzakis MJ: Management of open fractures and subsequent complications. Antibiotic delivery systems, like "antibiotic beads," may also be used to provide higher concentrations of antibiotics.Īntibiotic beads, like the ones shown here, can be used to help prevent or treat an infection after a fracture. Special drains may be placed in the wound to help rid it of pus. This stage of treatment may require more than one surgery. During surgery, your doctor will either swab or take samples of the infected tissue to find out what type of bacteria is causing the infection.
If you have an infection after surgery, your doctor may initially treat it with antibiotics alone, but you will likely need additional surgery to clean out the infection. Depending on the severity of your injury, you may require several debridement and irrigation procedures. It is suggested that people with open fractures undergo debridement and irrigation as soon as is reasonable, ideally within 24 hours of sustaining the injury. This procedure, called debridement and irrigation, is typically performed in an operating room. Your doctor will then clean the wound and remove as much contamination as possible from the skin, soft tissues, and bone.You will be started on antibiotics as soon as possible in the emergency room.SymptomsĪn open fracture is a surgical emergency. Other factors include having morbid obesity, poor nutrition, or poor hygiene. These include, first and foremost, smoking and using nicotine products. You may also be at greater risk because of the lifestyle choices you make. Risk FactorsĬhronic diseases that lower your immune system may put you at greater risk for infection after fracture. This occurs when bacteria enter the body during another surgical procedure (such as a tooth extraction or root canal) and make their way to the implants used to treat the fracture. Less commonly, an infection can occur at the surgical site even long after the injury has healed. Preventative antibiotics are given before surgery to lower the risk for infection. The risk for developing an infection in this setting is quite low, usually less than 1% in healthy individuals, although this varies depending on the injury and the operation performed.
BROKEN TIBIA AND FIBULA SURGERY SKIN
Surgeryĭuring surgery to fix a fracture, the doctor cuts through skin and soft tissues to reach the broken bone. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2016, pp. (Right) Reproduced from Egol KA, Gardner MJ, eds: Let's Discuss Management of Common Fractures. The broken end of the tibia (shinbone) has torn through the soft tissues and is sticking out through the skin. Illustration and x-ray show an open fracture.
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