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Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2021)

26. - 29.10.2021, Berlin

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Management of fractur-related infection after pelvic fracture

Meeting Abstract

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  • presenting/speaker Florian Baumann - Universitätsklinikum Regensburg, Klinik und Poliklinik für Unfallchirurgie, Regensburg, Germany
  • Viola Freigang - Universitätsklinikum Regensburg, Klinik und Poliklinik für Unfallchirurgie, Regensburg, Germany
  • Elisabeth Kopp - Universitätsklinikum Regensburg, Klinik und Poliklinik für Unfallchirurgie, Regensburg, Germany
  • Markus Rupp - Universitätsklinikum Regensburg, Klinik und Poliklinik für Unfallchirurgie, Regensburg, Germany
  • Volker Alt - Universitätsklinikum Regensburg, Klinik und Poliklinik für Unfallchirurgie, Regensburg, Germany

Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2021). Berlin, 26.-29.10.2021. Düsseldorf: German Medical Science GMS Publishing House; 2021. DocAB33-191

doi: 10.3205/21dkou167, urn:nbn:de:0183-21dkou1678

Veröffentlicht: 26. Oktober 2021

© 2021 Baumann et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Fragestellung: Fracture-related infection (FRI) after pelvic ring fracture is an uncommon but potentially life-threatening complication. In literature, the infection rate after pelvic fracture is 4.8-9.2%. However, there are no recommendations on treatment or reports on the outcome of this major complication. The aim of this study was to evaluate diagnostic and therapeutic management of fracture-related infection after pelvic fracture.

Methodik: In a retrospective analysis, we found 18 patients with a fracture-related infection out of 278 patients treated for a pelvic fracture from 07/2012-06/2020. 8/18 patients were female, median age was 61.5 years (±15.3). 6/18 patients with FRI had sustained a complex trauma of the pelvis with a significant soft tissue injury.

Ergebnisse und Schlussfolgerung: Table 1 shows the baseline characteristics of the patients. A stretegy of debridement, antibiotics, and implant retention (DAIR) was successful in 6/18 patients with FRI after pelvic fracture. 12 patients required an exchange of osteosynthetic implants.

Fracture-related infection after pelvic fracture is a serious condition. Acute infections with a stable implant can be treated with DAIR. Chronic infection, implant loosening, or osteolysis indicate a staged procedure with implant removal, temporary stabilization, and re-osteosynthesis after clearing of the infection.