Description
In this enlightening talk, Mario Morgenstern discusses the critical topic of fracture-related infections (FRIs) at a conference dedicated to their diagnosis and treatment. He begins by introducing himself and his affiliation with the Center for Musculoskeletal Infections at a Swiss university hospital. The presentation is structured in two main sections. Firstly, Morgenstern elaborates on defining and diagnosing FRIs, emphasizing the importance of recognizing infection signs in post-operative scenarios, illustrated through different patient cases showcasing various wound conditions following osteosynthesis. He highlights that consensus definitions for FRIs are relatively new compared to long-established definitions for prosthetic joint infections, noting a lack of standardized diagnostic guidelines. This gap led to expert groups convening, culminating in published definitions and diagnostic recommendations that address the complexities of FRIs.
During the second section, Morgenstern introduces a basic treatment algorithm for FRIs, outlining critical surgical and antimicrobial principles aimed at achieving fracture union and infection control. He emphasizes the multidisciplinary approach required to effectively manage FRIs and discusses the surgical options available, such as debridement and implant retention or removal. An essential focus is placed on the timing of intervention, illustrating how the duration of the infection influences treatment strategies and outcomes. Morgenstern concludes by reiterating the importance of careful consideration of host factors, the stability of the implant, and the nature of the infectious pathogen in the clinical management of fracture-related infections, with an emphasis on the need for an integrated team approach in treatment.