Atypical Hand Infections
Atypical infections of the hand are caused by organisms such as Mycobacterium , fungi, and viruses, and often do not respond to conventional management. They exist within a wide spectrum…
Charcot Arthropathy Versus Osteomyelitis
Charcot arthropathy of the foot and ankle is a severe complication of peripheral neuropathy and is most commonly seen in the developed world in association with diabetes mellitus. Correct diagnosis…
Flexor Tenosynovitis
For patients with suspected flexor tenosynovitis, the mainstay of diagnosis is a thorough history and physical examination. The examination is guided by evaluating the patient for Kanavel’s four cardinal signs….
Pediatric Septic Arthritis
Acute septic arthritis is a condition with the potential for joint destruction, physeal damage, and osteonecrosis, which warrants urgent identification and treatment. The organism most frequently responsible is Staphylococcus aureus…
Acute Hematogenous Osteomyelitis in Children
Acute hematogenous osteomyelitis (AHO) in children is an ideal condition to study due to its representation of a wide spectrum of disorders that comprise pediatric musculoskeletal infection. Proper care for…
Double-Edged Sword
The acute phase response has a crucial role in mounting the body’s response to tissue injury. Excessive activation of the acute phase response is responsible for many complications that occur…
The Impact of Negative Pressure Wound Therapy on Orthopaedic Infection
By hastening the resolution of edema and improving local microcirculation, topical negative pressure wound therapy (TNP) aids the establishment of early wound coverage. Its use in the setting of type…
The Antibiotic Nail in the Treatment of Long Bone Infection
Antibiotic cement nails provide a useful and relatively simple technique to treat intramedullary osteomyelitis of the long bones. These devices provide stability as well as local, targeted antibiotics, which are…
Role of Systemic and Local Antibiotics in the Treatment of Open Fractures
The orthopedic community has learned much about the treatment of open fractures from the tremendous work of Ramon Gustilo, Michael Patzakis, and others; however, open fractures continue to be very…
Deep Vein Thrombosis and Pulmonary Embolism Considerations in Orthopedic Surgery
Patients undergoing orthopedic surgery have an increased risk for deep venous thrombosis (DVT) and pulmonary embolism (PE). These complications are considered detrimental, as they cause major postoperative morbidity and mortality…
