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Knochendefekte und Pseudarthrosen pp 101–114Cite as

Infizierte Pseudarthrose

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Zusammenfassung

Die Infektpseudarthrose ist eine mögliche Ursache für das Ausbleiben der knöchernen Konsolidierung nach Frakturbehandlung oder chirurgischen Knocheneingriffen. Sie ist eine schwerwiegende Komplikation und erfordert eine zielgerichtete Diagnostik: Klinik, radiologisches Bild in Kombination mit dem mikrobiologischen Keimnachweis und das histologische Bild eines Infektes. Risikofaktoren und Eintrittspforten für Keime sollten minimiert werden. Die Infektsanierung besteht zunächst aus Entfernung aller Fremdmaterialen, radikalem chirurgischmn Debridement von avitalen Knochen- und Weichteilen in Kombination mit systemischer und ggf. lokaler Antibiotikagabe. Im 2. Schritt folgt die Rekonstruktion mit osteosynthetischer Stabilisierung, Kochen- und Weichteilrekonstruktion. Die Therapie wird an den Patienten individuell angepasst und kann stark variieren je nach Lokalisation, Keimen, Risikofaktoren, Alter, Kooperationsfähigkeit etc. und erfordert daher ein interdisziplinäres Team.

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Authors and Affiliations

  1. Unfallchirurgie, Berufsgenossenschaftliche Unfallklinik, Murnau, Deutschland

    PD Dr. med. Sven Hungerer, Dr. med. Mario Morgenstern, Dr. med Matthias Militz & Prof. Dr. med. Volker Bühren

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  1. PD Dr. med. Sven Hungerer
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  2. Dr. med. Mario Morgenstern
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  3. Dr. med Matthias Militz
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  4. Prof. Dr. med. Volker Bühren
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Editors and Affiliations

  1. Klinik und Poliklinik für Unfallchirurgie, TU München Klinikum rechts der Isar, München, Germany

    Peter Biberthaler

  2. Experimentelle Unfallchirurgie, TU München Klinikum rechts der Isar, München, Germany

    Martijn van Griensven

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Hungerer, S., Morgenstern, M., Militz, M., Bühren, V. (2017). Infizierte Pseudarthrose. In: Biberthaler, P., van Griensven, M. (eds) Knochendefekte und Pseudarthrosen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-44991-8_8

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  • DOI: https://doi.org/10.1007/978-3-642-44991-8_8

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