What to do in case of infection in the bone? Do you just need to replace the inner nail? Or should we wait for consolidation and only then can the infection be treated?
How to replace a nail when the bone has not yet healed? Is it not dangerous for the bone to break while removing the nail?
Quote from: Ozzi6557 on December 29, 2021, 02:05:59 PMHow to replace a nail when the bone has not yet healed? Is it not dangerous for the bone to break while removing the nail?
Quote from: Michael J. Assayag, MD on December 20, 2021, 03:41:01 AMAlthough it is true that infection should be dealt with promptly, it is a little more nuanced than that.
infection can be on a spectrum of severity. Yea me should suspect infection anytime there is persistent drainage from a surgical wound. the first step is to treat with antibiotics and monitor signs of deeper infection on x-rays.
Lengthening can occur in the face of low grade infection, but once the length is achieved, if the symptoms persist, the surgeon should consider a washout and an exchange nailing with an antibiotic cement coated rod.
thankfully it is quite a rare scenario,
How to replace a nail when the bone has not yet healed? Is it not dangerous for the bone to break while removing the nail?
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