When and How to Intervene Surgically in the Infected Fracture

Description

This webinar features an insightful discussion led by Bilal Jamal, introducing Hamish Simpson, a distinguished Professor of Orthopedics from Edinburgh, who specializes in limb reconstruction and the surgical management of infected fractures. Simpson discusses various complexities in managing fracture-related infections, including the timing of surgical interventions and decision-making processes based on clinical scenarios. He emphasizes key considerations such as skin coverage, fracture alignment, infection control, and the stability of constructs used in surgery.



Throughout the presentation, Simpson outlines critical stages of infection, types of infections based on timing, and explores algorithms for treatment depending upon the infection's duration and severity. He also introduces five essential questions that surgeons should assess to determine whether surgical intervention is necessary: 1) Is there adequate skin coverage? 2) Is the fracture position satisfactory? 3) Can the infection be controlled? 4) Will the construct hold the bone to union? 5) Can union be achieved without further intervention?



Jamal further engages with Simpson on the timing of surgery, differentiating between cases requiring immediate surgical intervention versus those manageable with antibiotics. The discussion highlights the importance of careful judgment in avoiding unnecessary extensive procedures, advocating for a "union-first" approach whenever feasible. The session concludes with acknowledgments to corporate sponsors, underscoring the collaborative spirit of medical education and research.

DOI: 10.1302/3114-240681

Specialties