Surgery's role in contemporary osteoarticular infection management

Frontiers in Pediatrics

Pediatrics

Dimitri Ceroni¹  Oscar Vazquez²  Ardian Ramadani²  Romain Dayer²  Christina Steiger²  Giacomo De Marco²  Nathaly Gavira² 

[1] Correspondence:;Pediatric Orthopedics Unit, Pediatric Surgery Service, University Hospitals of Geneva, Genève, Switzerland;

关键词: osteoarticular;    infection;    surgery;    management;    punction;    drainage;    necrotic;    abscess;   

DOI  :  10.3389/fped.2022.1043251

 received in 2022-09-13, accepted in 2022-11-23,  发布年份 2022

来源: Frontiers

【 摘 要 】

The treatment paradigm for osteoarticular infections (OAIs) has changed drastically over the past 80 years, from the advent of penicillin to the use of broad-spectrum antibiotics. Before these drugs, surgery was the only available treatment for OAIs; today, antibiotic therapy is considered the primary response to them. As a result, surgical treatment of OAIs is thus far more rarely indicated, sometimes even considered outdated and obsolete. However, long experience has taught us that many OAI contexts can still benefit from surgical management, constituting an essential complement to medical treatment. The present article seeks to contextualize this discussion by providing a chronological review of the surgical treatments used in cases of OAI and describing the quality of evidence supporting their rehabilitation in well-established situations.

【 授权许可】

Unknown   
© 2022 De Marco, Vazquez, Gavira, Ramadani, Steiger, Dayer and Ceroni.