Table 3 Overview of patients without success
From: Effect of a standardized treatment regime for infection after osteosynthesis
Patient no. | Follow-up (mo) | Fracture, Gustilo | Closure | MB | Rifampicin resistance | Treatment | Failure reason |
|---|---|---|---|---|---|---|---|
1 | 16 | Distal tibia/fibula, IIIA | Free flap | PM | No | Multiple surgical debridement, local antibiotic treatment, revision osteosynthesis, 2× protocol treatment | Amputation necessary |
2 | 24 | Pelvic ring, IIIC | Free flap | PM | Yes | Removal OSM at initial debridement, multiple surgical debridement, local antibiotic treatment | Non-union, continuous soft tissue problems |
3 | 16 | Distal femur, IIIC | Split skin graft | PM | No | Multiple surgical debridement and antibiotic therapy, local antibiotic therapy, removal OSM | Non-union, persisting low grade infection |
4 | 15 | Shaft tibia/fibula, IIIB | Free flap | CoNS | Yes | Masquelet technique, surgical debridement, no intravenous antibiotic therapy, when relapse adequate protocol treatment | Non-union |
5 | 10 | Distal femur, I | Primary | NG | NA | Infection after re-osteosynthesis for pseudo-arthrosis, single surgical debridement, perfect protocol treatment | Non-union |
6 | 11 | Shaft tibia/fibula, unknown | Split skin graft | PM | No | Infection after sequestrectomy and re-osteosynthesis for pseudo-arthrosis, multiple surgical debridement and antibiotic treatment. | Non-union, persisting wound |