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Current topics in complex osteoarticular infections: a multidisciplinary update

On 01/10/2017
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Current topics in complex osteoarticular infections: a multidisciplinary update

By Gérard Giordano 1, Guillaume Krin 1, Aurélie Bouige 2, Alain Bicart-see 2, Camille Fourcade 3, Eric Bonnet 3 in category UPDATE
Hôpital Joseph Ducuing, Toulouse, France / 1- Service de chirurgie orthopédique. / 2- Laboratoire de microbiologie. / 3- Unité Mobile d’infectiologie

In the past few years, the management of complex osteoarticular infections (OAIs) has undergone rapid evolution. Changes have extended to associated organisational bodies and management strategies, as well as to the techniques and technologies brought into play. People working in basic science and in industry are also becoming increasingly involved in this field.

Introduction

On both the national and the international scale, multidisciplinary centres of expertise are emerging. Medical and surgical management strategies, which remain the focus of discussion, are gradually finding their respective places. Diagnostic and therapeutic techniques are becoming more refined, with the assistance of new technologies.
With all this abundance of information, we thought it would be useful to take stock of where we are in terms of OAIs. Our multidisciplinary team will discuss some of the current topics encountered by the three specialties most often involved in complex OAIs: orthopaedic surgery, infectious diseases and microbiology.

 

Orthopaedics and complex OAIs

Orthopaedic surgeons involved in the management of complex OAIs are confronted not only by difficulties in reaching a diagnosis, particularly with low-profile periprosthetic infections, but also by the complexity and diversity of the clinical cases that need treating. To deal with the problems that arise, they have at their disposal a range of choices that encompass management strategies, techniques and technologies.

Strategies

In terms of diagnosis, orthopaedic surgeons have two roles:

  • They must have a thorough knowledge of the different diagnostic imaging and microbiological techniques...

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