High complication rate after septic orthopaedic implant removal of the lower leg

Suda, Arnold J.; Winkler, Klaus; Grützner, Paul Alfred; Thoele, P.; Heppert, V.; Franke, Jochen

doi:10.1007/s00402-014-2093-6

Cited by 3 publications

(1 citation statement)

References 31 publications

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“…2 In addition, 13 patients (22.4%) had infection with revision surgery based on a different study in Germany in 2014. 11 To the best of our knowledge, there was no prior study reporting orthopedic hardware removal in Indonesia yet. There is no clear guideline whether patients with metal implant…”

Section: Introductionmentioning

confidence: 99%

Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study

Azzahra

Primadhi²,

Nurhayati

et al. 2022

ijihs

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Objective: To acquire clinical data regarding indications of implant removal and complications in orthopedic metal implant removal. Methods: This was a cross-sectional observational descriptive study using patient medical records. The inclusion criterion was all patients who underwent orthopedic metal implant removal during 2018-2020 while the exclusion criterion was unintentional implant removal due to subsequent injury or loosening. Data regarding anatomic regions, indications, and complications were collected and presented in tables. Results: In 112 patients participated in this study consisting of 75 (67%) men and 37 (33%) women, the implants were mainly located in thigh, lower leg, and ankle (53% combined). The most common indication for metal implant removal was conversion (31%), followed by infection (25%) and patient's request (20%). The only complication observed in orthopedic metal implant removal in this study was disturbed wound healing in a small percentage of the patients (16%). Most patients (84%) did not experience any complication due to metal implant removal. Conclusions: Indications for metal implant removal may vary, with or without symptoms. Disturbed wound healing is a complication observed in metal implant removal. Despite the advantages of removal, further analysis and guidelines are needed to avoid unnecessary hardware removal considering the risk of complications.

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Section: Introductionmentioning

confidence: 99%

Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study

Azzahra

Primadhi²,

Nurhayati

et al. 2022

ijihs

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Komplikationsmanagement bei infizierter Osteosynthese

Kleber

Schaser

Trampuž

2015

Chirurg

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Scientific knowledge and clinical data have led to new treatment algorithms for PII with improved outcome, decreased morbidity and shortened hospitalization. Systemic individualized antimicrobial therapy, radical septic and plastic surgery are the cornerstones for successful treatment of acute and chronic PII. The local use of antibiotics and application of bone substitute materials are other techniques for treatment but the exact importance must still be determined.

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Reconstruction of septic diaphyseal bone defects with the induced membrane technique

Scholz

Gehrmann

Glombitza

et al. 2015

Injury

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High complication rate after septic orthopaedic implant removal of the lower leg

Cited by 3 publications

References 31 publications

Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study

Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study

Komplikationsmanagement bei infizierter Osteosynthese

Reconstruction of septic diaphyseal bone defects with the induced membrane technique

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