Surgical debridement to optimise wound conditions and healing.

Abstract

Different treatment strategies are available for bone, joint and soft tissue infections, including use of local antibiotics; negative pressure wound therapy; one-stage, two-stage or multi-stage revisions; or open wound therapy. All methods have one principle in common: adequate surgical debridement is the prerequisite for successful treatment of bone, joint and soft tissue infections. According to the different textures of healthy, infected or necrotic tissue, special techniques are used. In this article we will describe the clinical presentation of necrotic and non-vital tissue in skin, soft tissue and bone and appropriate techniques of debridement.

• Authors: Michael Diefenbeck, Nils Haustedt, Hergo Gk Schmidt
• Journal: International wound journal (Int Wound J) Vol. 10 Suppl 1 Pg. 43-7 (Dec 2013) ISSN: 1742-481X [Electronic] England
• PMID: 24251843 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © 2013 The Authors. International Wound Journal © 2013 John Wiley & Sons Ltd and Medicalhelplines.com Inc.

Chemical References

• Anti-Bacterial Agents

Topics

• Aged
• Anti-Bacterial Agents (therapeutic use)
• Bandages
• Bone and Bones (pathology, surgery)
• Debridement
• Dermatologic Surgical Procedures
• Fascia (pathology)
• Fasciotomy
• Female
• Hematoma (surgery)
• Humans
• Male
• Muscle, Skeletal (pathology, surgery)
• Necrosis
• Osteomyelitis (etiology, surgery)
• Skin (pathology)
• Skin Diseases (surgery)
• Soft Tissue Infections (therapy)
• Subcutaneous Tissue (pathology, surgery)
• Surgical Flaps
• Tibial Fractures (complications, surgery)
• Wound Healing
• Wound Infection (therapy)