Zusammenfassung
Noch vor 50 Jahren waren es überwiegend spezifische Erreger (wie Mykobakterien), die nicht beherrschbare Knocheninfektionen am Fuß auslösten und nicht selten zur Amputation führten. Heute sind es fast ausschließlich unspezifische Infekte (Staphylokokken, Streptokokken, Pseudomonas aeruginosa, Enterokokken usw.) die eine Osteomyelitis oder Ostitis auslösen. Die moderne Antibiotikatherapie, das bessere Verständnis von Infektionen und damit die Möglichkeiten der gezielten chirurgischen Sanierung haben dazu geführt, dass Amputationen aufgrund von Infektionen in den letzten 50 Jahren kontinuierlich zurückgegangen sind [7].
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Literatur
Akalin HE (1999) The role of beta-lactam/beta-lactamase inhibitors in the management of mixed infections. Int J Antimicrob Agents 12 [Suppl 1]: S15–S20
Alazraki N, Dalinka MK, Berquist TH et al. (2000) Imaging diagnosis of osteomyelitis in patients with diabetes mellitus. American College of Radiology. ACR Appropriateness Criteria. Radiology 215 [Suppl]: 303–310
Ambrosch A, Lehnert H, Lobmann R (2003) Microbiological aspects and antibiotic therapy of diabetic foot infections. Med Klin 98: 259–265
Apelqvist J, Larsson J, Agardh CD (1993) Long-term prognosis for diabetic patients with foot ulcers. J Intern Med 233: 485–491
Armstrong DG, Lavery LA, Quebedeaux TL, Walker SC (1997) Surgical morbidity and the risk of amputation due to infected puncture wounds in diabetic versus nondiabetic adults. J Am Podiatr Med Assoc 87: 321–326
Axler DA, Dziarski R (1985) Bacteria causing podiatric infections, and processing of clinical specimens. J Am Podiatr Med Assoc 75: 1–12
Baumgartner R, Greitemann B (2002) Grundkurs Technische Orthopädie. Thieme, Stuttgart
Baumhauer JF, Fraga CJ, Gould JS, Johnson JE (1998) Total calcanectomy for the treatment of chronic calcaneal osteomyelitis. Foot Ankle Int 19: 849–855
Bollinger M, Thordarson DB (2002) Partial calcanectomy: an alternative to below knee amputation. Foot Ankle Int 23: 927–932
Boutin RD, Brossmann J, Sartoris DJ, Reilly D, Resnick D (1998) Update on imaging of orthopedic infections. Orthop Clin North Am 29: 41–66
Boutoille D, Leautez S, Maulaz D, Krempf M, Raffi F (2000) Skin and osteoarticular infections of the diabetic foot. Role of infection. Presse Med 29: 393–395
Bouysset M, Bouvier M (1997) Inflammatory foot disease. Rev Prat 47: 43–49
Brook I (2002) Joint and bone infections due to anaerobic bacteria in children. Pediatr Rehabil 5: 11–19
Brook JW (1994) Management of pedal puncture wounds. J Foot Ankle Surg 33: 463–466
Cartlidge IJ, Gillespie WJ (1979) Haematogenous osteomyelitis of the metatarsal sesamoid. Br J Surg 66: 214–216
Chang BB, Darling RC, III, Paty PS, Lloyd WE, Shah DM, Leather RP (1996) Expeditious management of ischemic invasive foot infections. Cardiovasc Surg 4: 792–795
Charalambous CP, Zipitis CS, Kumar R, Lipsett PA, Hirst P, Paul A (2003) Soft tissue infections of the extremities in an orthopaedic centre in the UK. J Infect 46: 106–110
Christiansen P, Frederiksen B, Glazowski J, Scavenius M, Knudsen FU (1999) Epidemiologic, bacteriologic, and long-term follow-up data of children with acute hematogenous osteomyelitis and septic arthritis: a ten-year review. J Pediatr Orthop B 8: 302–305
Crim JR, Seeger LL (1994) Imaging evaluation of osteomyelitis. Crit Rev Diagn Imaging 35: 201–256
Croll SD, Nicholas GG, Osborne MA, Wasser TE, Jones S (1996) Role of magnetic resonance imaging in the diagnosis of osteomyelitis in diabetic foot infections. J Vase Surg 24: 266–270
DeCoster TA, Miller RA (1994) Management of traumatic foot wounds. J Am Acad Orthop Surg 2: 226–230
Deely DM, Schweitzer ME (1997) MR imaging of bone marrow disorders. Radiol Clin North Am 35: 193–212
Dirschl DR (1994) Acute pyogenic osteomyelitis in children. Orthop Rev 23: 305–312
Echtermeyer V (1986) Compartment syndrome. Langenbecks Arch Chir 369: 527–533
Erickson SJ, Johnson JE (1997) MR imaging of the ankle and foot. Radiol Clin North Am 35: 163–192
Ezra E, Wientroub S (1997) Primary subacute haematogenous osteomyelitis of the tarsal bones in children. J Bone Joint Surg Br 79: 983–986
Finkelstein JA, Hunter GA, Hu RW (1996) Lower limb compartment syndrome: course after delayed fasciotomy. J Trauma 40: 342–344
Fleischli JG, Laughlin TJ (1999) Subtotal calcanectomy for the treatment of large heel ulceration and calcaneal osteomyelitis in the diabetic patient. J Foot Ankle Surg 38: 373–374
Fox HR, Karchmer AW (1996) Management of diabetic foot infections, including the use of home intravenous antibiotic therapy. Clin Podiatr Med Surg 13: 671–682
Frierson JG, Pfeffinger LL (1993) Infections of the foot. In: Mann RA, Coughlin MJ (eds) Surgery of the foot and ankle. Mosby, St. Louis
Fylling CP, Knighton DR (1989) Amputation in the diabetic population: incidence, causes, cost, treatment, and prevention. J Enterostomal Ther 16: 247–255
Goodwin DW, Salonen DC, Yu JS, Brossmann J, Trudell DJ, Resnick DL (1995) Plantar compartments of the foot: MR appearance in cadavers and diabetic patients. Radiology 196: 623–630
Gostishchev VK, Paukov VS, Shkrob LO, Germakova NG, Shalchkova LP (1996) Immune system defence and its correction in patients with chronic inflammatory disorders of lower extremities. Khirurgiia (Mosk) 5: 43–47
Gottlieb T, Atkins BL, Shaw DR (2002) 7: Soft tissue, bone and joint infections. Med J Aust 176: 609–615
Grayson ML, Gibbons GW, Habershaw GM, Freeman DV, Pomposelli FB, Rosenblum BI, Levin E, Karchmer AW (1994) Use of ampicillin/sulbactam versus imipenem/cilastatin in the treatment of limb-threatening foot infections in diabetic patients. Clin Infect Dis 18: 683–693
Greenspan A (1993) Skelettradiologie. VCH, Weinheim
Hartemann-Heurtier A, Marty L, Ha VG, Grimaldi A (2000) Role of antibiotic therapy in diabetic foot management. Diabetes Metab 26: 219–224
Hefti F (1997) Kinderorthopädie in der Praxis. Springer, Berlin Heidelberg New York Tokyo
Helfand AE (1989) Nail and hyperkeratotic problems in the elderly foot. Am Fam Physician 39: 101–110
Herndon WA, Alexieva BT, Schwindt ML, Scott KN, Shaffer WO (1985) Nuclear imaging for musculoskeletal infections in children. Pediatr Orthop 5: 343–347
Ike RW (1998) Bacterial arthritis. Curr Opin Rheumatol 10: 330–334
Jerosch J, Hoffstetter I, Schroder M, Castro WH (1995) Septic arthritis: Arthroscopic management with local antibiotic treatment. Acta Orthop Belg 61: 126–134
Jones RO, Cross G III (1980) Suspected chronic osteomyelitis secondary to acupuncture treatment: a case report. J Am Podiatr Assoc 70: 149–151
Joseph WS, Lefrock J (1996) The use of oral antibiotics in lower-extremity infections. Clin Podiatr Med Surg 13: 683–699
Karlin JM (1987) Osteomyelitis in children. Clin Podiatr Med Surg 4: 37–56
Khuri S, Ochsner PE (1986) Differential diagnosis of osteomyelitis of the calcaneus. Z Orthop 124: 19–21
Larka UB, Ulett D, Garrison T, Rockett MS (2003) Aeromonas hydrophilia infections after penetrating foot trauma. J Foot Ankle Surg 42: 305–308
Laughlin TJ, Armstrong DG, Caporusso J, Lavery LA (1997) Soft tissue and bone infections from puncture wounds in children. West J Med 166: 126–128
Lazzarini L, Amina S, Wang J, Calhoun JH, Mader JT (2002) Mycobacterium tuberculosis and Mycobacterium fortuitum osteomyelitis of the foot and septic arthritis of the ankle in an immunocompetent patient. Eur J Clin Microbiol Infect Dis 21: 468–470
Ledermann HP, Morrison WB, Schweitzer ME (2002) MR image analysis of pedal osteomyelitis: distribution, patterns of spread, and frequency of associated ulceration and septic arthritis. Radiology 223: 747–755
Lee BY, Guerra J, Civelek B (1995) Compartment syndrome in the diabetic foot. Adv Wound Care 8: 36, 38, 41–36
Lee CH, Chen YJ, Ueng SW, Hsu RW (2000) Septic arthritis of the ankle joint. Changgeng Yi Xue Za Zhi 23: 420–426
LeFrock JL, Joseph WS (1995) Bone and soft-tissue infections of the lower extremity in diabetics. Clin Podiatr Med Surg 12: 87–103
Luhmann JD, Luhmann SJ (1999) Etiology of septic arthritis in children: an update for the 1990s. Pediatr Emerg Care 15: 40–42
Manoli A, Weber TG (1990) Fasciotomiy of the foot: an anatomical study with special reference to release of the calcaneal compartment. Foot Ankle 10: 267–275
Marti-Bonmati L, Aparisi F, Poyatos C, Vilar J (1993) Brodie abscess: MR imaging appearance in 10 patients. J Magn Reson Imaging 3: 543–546
Meyers BR, Berson BL, Gilbert M, Hirschman SZ (1973) Clinical patterns of osteomyelitis due to gram-negative bacteria. Arch Intern Med 131: 228–233
Miller WB Jr, Murphy WA, Gilula LA (1979) Brodie abscess: reappraisal. Radiology 132: 15–23
Mitchell IR, Meyer C, Krueger WA (1991) Deep fascia of the foot. Anatomical and clinical considerations. J Am Podiatr Med Assoc 81: 373–378
Mittlmeier T (1998) Akute Infektionen und Kompartmentsyndrome am Fuß: Operative Behandlung. In: Wülker N, Stephens M, Cracchiolo A III (Hrsg) Operationsatlas Fuß und Sprunggelenk. Enke, Stuttgart
Musharafieh R, Osmani O, Musharafieh U, Saghieh S, Atiyeh B (1999) Efficacy of microsurgical free-tissue transfer in chronic osteomyelitis of the leg and foot: review of 22 cases. J Reconstr Microsurg 15: 239–244
Reichl M (1989) Septic arthritis following puncture wound of the foot. Arch Emerg Med 6: 277–279
Richardson EG: Neurogenic disorders. In: Canale ST (ed) Operative Orthopaedics. Mosby, St. Louis
Robb JE (1984) Primary acute haematogenous osteomyelitis of an isolated metatarsal in children. Acta Orthop Scand 55: 334–338
Schweitzer ME, Karasick D (1994) MRI of the ankle and hindfoot. Semin Ultrasound CT MR 15: 410–422
Senneville E, Yazdanpanah Y, Cordonnier M et al. (2002) Are the principles of treatment of chronic osteitis applicable to the diabetic foot? Presse Med 31: 393–399
Shetty AK, Gedalia A (1998) Septic arthritis in children. Rheum Dis Clin North Am 24: 287–304
Swan A, Amer H, Dieppe P (2002) The value of synovial fluid assays in the diagnosis of joint disease: a literature survey. Ann Rheum Dis 61: 493–498
Tehranzadeh J, Wang F, Mesgarzadeh M (1992) Magnetic resonance imaging of osteomyelitis. Crit Rev Diagn Imaging 33: 495–534
Thordarson DB, Ahlmann E, Shepherd LE, Patzakis MJ (2000) Sepsis and osteomyelitis about the ankle joint. Foot Ankle Clin 5: 913–928
Wegener WA, Alavi A (1991) Diagnostic imaging of musculoskeletal infection. Roentgenography; gallium, indium-labeled white blood cell, gammaglobulin, bone scintigraphy; and MRI. Orthop Clin North Am 22: 401–418
Wheat J (1985) Diagnostic strategies in osteomyelitis. Am J Med 78: 218–224
Zollinger-Kies H (2002) Entzündliche Erkrankungen. In Wirth CJ (Hrsg) Fuß. Thieme, Stuttgart
Zwipp H, Dahlen C, Randt T, Gavlik JM (1997) Complex trauma of the foot. Orthopäde 26: 1046–1056
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Walther, M., Hendrich, C., Rader, C. (2004). Infektionen des Fußes. In: Hendrich, C., Frommelt, L., Eulert, J. (eds) Septische Knochen-und Gelenkchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59302-4_10
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