milmedВоенная медицинаMilitary Medicine2074-5044Белорусский государственный медицинский университетmilmed-527Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESИнфекционные осложнения после остеосинтеза длинных трубчатых костей нижних конечностей: этиология, классификация и диагностикаInfections after osteosynthesis of lower extremity long bones: etiology, classification and diagnosisВолотовскийП. А.VolotovskiP. A.

г. Минск

СитникА. А.SitnikA. A.

г. Минск

БелецкийА. В.BeletskyA. V.ГУ «Республиканский научно-практический центр травматологии и ортопедии»Belarus201820102026018389Copyright © Волотовский П.А., Ситник А.А., Белецкий А.В., 20262026Волотовский П.А., Ситник А.А., Белецкий А.В.Volotovski P.A., Sitnik A.A., Beletsky A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://milmed.ejournal.by/jour/article/view/527

Инфекции, развивающиеся после остеосинтеза, трудно поддаются лечению и нарушают процесс сращения костных отломков. Такие осложнения наблюдаются нечасто, но своевременная постановка правильного диагноза может стать сложной задачей. Подход к каждому случаю должен быть индивидуальным и комплексным. В настоящее время научно обоснованных данных сравнительно немного, и большинство результатов, представленных в литературе, основаны на лабораторных работах и нерандомизированных клинических исследованиях. В данной статье представлен обзор литературы, касающейся патогенеза, диагностики и классификации инфекций, развивающихся после остеосинтеза.

Infections after osteosynthesis are difficult to manage and impair fracture healing. While relatively rare fractures become infected after surgical treatment, it is often challenging to obtain a rapid diagnosis. Optimal management strategies should be complex and highly customized. At present, there is no high level of relevant evidence; most literature data are based on laboratory and nonrandomized clinical studies. This article presents the overview of recent literature concerning pathogenesis, diagnosis and classification of infections after osteosynthesis.

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The authors declare that there are no conflicts of interest present.