Tratamiento quirúrgico de la infección relacionada con fracturas. Parte II: manejo del espacio muerto y reconstrucción del hueso y los tejidos blandos

Alejandro Vallejo-Díaz; Carlos Olíver Valderrama-Molina; Matheus Lemos Azi; William Dias-Belangero; Vincenzo Giordano; Guido Carabelli; Carlos Federico Sancineto

doi:10.58814/01208845.87

Autores/as

Alejandro Vallejo-Díaz Hospital Alma Mater de Antioquia, Departamento de Ortopedia y Traumatología, Medellín, Colombia. | Universidad Pontificia Bolivariana, Departamento de Ortopedia y Traumatología, Medellín, Colombia. https://orcid.org/0000-0003-4652-542X
Carlos Olíver Valderrama-Molina Hospital Pablo Tobón Uribe, Servicio de Ortopedia, Medellín, Colombia. https://orcid.org/0000-0001-5921-2284
Matheus Lemos Azi Secretaria de Saúde do Estado da Bahia y Sociedade Beneficente Israelita Albert Einstein, Hospital Ortopédico do Estado, Salvador, Brasil. https://orcid.org/0000-0002-4456-6423
William Dias-Belangero Universidad Estadual de Campinas, Escuela de Ciencias Médicas, Sao Paulo, Brasil. https://orcid.org/0000-0003-1838-1473
Vincenzo Giordano Hospital Municipal Miguel Couto, Servicio de Ortopedia y Traumatología Prof. Nova Monteiro, Río de Janeiro, Brasil. | Clínica São Vicente, Rede D’or São Luiz, Río de Janeiro, Brasil. https://orcid.org/0000-0002-4429-312X
Guido Carabelli Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología “Carlos E. Ottolenghi”, Buenos Aires, Argentina. https://orcid.org/0000-0002-7049-0688
Carlos Federico Sancineto Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología “Carlos E. Ottolenghi”, Buenos Aires, Argentina. https://orcid.org/0000-0002-5190-4312

DOI:

https://doi.org/10.58814/01208845.87

Palabras clave:

Osteomielitis, Fracturas óseas, Fijación interna de fracturas, infección de la herida quirúrgica

Resumen

El desbridamiento es la piedra angular del tratamiento de la infección relacionada con fracturas e implica la escisión de todo el tejido necrótico e infectado. Desafortunadamente, el desbridamiento de huesos y tejidos blandos con frecuencia resulta en espacio muerto, defectos óseos y defectos en tejidos blandos. Por lo tanto, inmediatamente después del desbridamiento es necesario planificar las estrategias quirúrgicas reconstructivas. Teniendo en cuenta lo anterior, el objetivo de este artículo es revisar las técnicas quirúrgicas disponibles para el manejo del espacio muerto y la reconstrucción ósea y de tejidos blandos en pacientes con infección relacionada con fracturas.

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