Treatment and prevention of osteomyelitis following trauma in adults
- Steven K Schmitt, MD, FIDSA
Steven K Schmitt, MD, FIDSA
- Staff Physician, Department of Infectious Diseases
- Associate Professor of Medicine
- Cleveland Clinic Lerner College of Medicine
Posttraumatic osteomyelitis refers to osteomyelitis that develops as a result of contaminated open fractures or surgical treatment of closed fractures. Posttraumatic osteomyelitis can occur in up to 25 percent of open fractures; the risk depends upon the following factors [1-6]:
●Severity of fracture
●Severity of soft tissue injury
●Degree of bacterial contamination
●Presence of underlying vascular insufficiency (eg, peripheral vascular disease or diabetes)
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