Description
In this informative webinar, Nicholas Riley, a consultant hand and wrist surgeon at the Nuffield Orthopedic Center in Oxford, discusses the crucial topic of fracture-related infection, which poses significant challenges in post-bone injury recovery. He emphasizes the importance of accurate diagnosis, highlighting how the early signs of healing can sometimes mimic those of an infection. Through a multidisciplinary approach, Riley outlines essential principles for treatment, including the removal of infected tissue, the management of dead space, and the role of antibiotics in a comprehensive surgical strategy.
Throughout the session, he details the most up-to-date criteria for defining fracture-related infections, which include clinical signs, radiological findings, and the importance of meticulous sampling for microbiological analysis. Riley stresses the value of understanding inflammatory markers and their limitations in diagnosing infections. He also shares insights into contemporary practices, including the use of Cerament, a biphasic bone filler designed for antibiotic elution, and discusses recent advancements in oral antibiotic treatment protocols based on findings from the OVIVA trial. This in-depth presentation not only provides clinical guidance but also underscores the necessity of continuing research and collaboration in the management of complex bone infections.