Gentamicin-PMMA-Miniketten bei Infektionen der Hand

Steinig, H J; Asche, G

doi:10.1007/bf02588393

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Die Behandlung Bakterieller Infektionen An Den Interphalange1

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2011

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“…Jahrhunderts publiziert [5,30]. Im Zeitalter der Antibiotika versetzen uns heute Behandlungsmittel wie Fixateur externe, die Saug-Spül-Drainage [22] und lokal applizierbare, sterile Antibiotikaträger in die Lage, bei diesen komplexen Infektionen nicht nur den Finger [28], sondern auch seine Funktion zu erhalten.…”

Section: Die Behandlung Bakterieller Infektionen An Den Interphalangeunclassified

Die Behandlung bakterieller Infektionen an den Interphalangealgelenken der Hand

Vorderwinkler

Mühldorfer

Pillukat

et al. 2011

Oper Orthop Traumatol

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In 10 of 40 patients, the infected joint could be preserved. All infections healed. After an average duration of therapy of 6 (3-11) weeks, 4 individuals were free of complaints, and 6 patients had minor symptoms. Overall range of motion in the affected finger was reduced by 25-50° in 5 patients. All patients could return to work after 6.6 (4-11) weeks. A total of 30 patients were treated with joint resection and external fixator. After 5.6 (4-8) weeks, arthrodesis was performed, leading to consolidation in 29 patients. One patient underwent amputation after 4 months due to delayed gangrene. Treatment duration was 15.7 (7-25) weeks. Eight patients reported no complaints, 14 suffered mild symptoms, 5 had moderate, and 3 had severe symptoms in daily life. In 15 cases, range of motion was diminished by 10-80° in the remaining joints of the affected finger. Patients could return to work after 16.2 (6-28) weeks.

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