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INFECTION GUIDE

THE COMPLEX FRACTURE GUIDE 

Infection in bones can be caused by an open fracture or through the blood stream. Due to the presence of infection one might see inflammation of the bones. Infection of the bone is often termed as osteomyelitis. Infection can either be bacterial or fungal.

Types of Infections

The type of osteomyelitis depends on the time when it affects the bone. On the basis of time taken to affect the bone, osteomyelitis is divided into 3 sub categories:

  1. ACUTE OSTEOMYELITIS

Acute osteomyelitis develops within 2 week of an injury

  1. SUB-ACUTE OSTEOMYELITIS

Sub-acute osteomyelitis develops within 1-2 months of the injury

  1. CHRONIC OSTEOMYELITIS

Chronic osteomyelitis develops mostly after 2 months of the injury

Signs of Infections

The following signs may be present in the presence of bone infection:

  • Pain
  • Swelling
  • Redness
  • Tenderness
  • Irritable
  • Fever/ chills
  • Drain from the affected site

Risks of Infection

People having following conditions are considered at high risk of developing bone infections:

  • Weak immune system
  • Circulatory problems
  • Open fracture
  • Bone replace surgery
Treatment of Infections

Treatment depends on the type of osteomyelitis:

  1. Acute osteomyelitis

Treatment can be easily done by using antibiotics.

  1. Sub-acute osteomyelitis

            Treatment depends on the severity of the bone affected/ damaged. If there is no damage to the bone then the treatment can be the same as that of acute osteomyelitis, whereas, if the bone is damaged treatment follows the same procedure as that of the chronic osteomyelitis.

  1. Chronic osteomyelitis

Treatment suggests the need for both antibiotics and surgery.

The surgery involves:

  • Removal of the pus
  • Removal of the diseased bone
  • Restoring blood supply to the left area
  • Stabilizing the affected bone

To overcome the weakness after surgery one may have to go for strengthening exercise (for example isometric exercises in which the patient is asked to contract the muscle without any movement in the particular joint), as designed by the doctors.

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Dr. Pranav A. Shah is working currently as the Director of Orthopedic Trauma and Hip surgeries at CIMS hospital a JCI approved tertiary care well reputed corporate hospital in Ahmedabad. He was practicing earlier as a Senior Orthopedic Trauma Consultant Surgeon at Shalby Hospital, Ahmedabad from 2007 to 2017. Dr. Pranav Shah is a celebrated name as an eminent Orthopedic Surgeon who is highly recommended and referred to, because of his excellent skills and results even in most complex cases. 

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