Le infezioni nelle fratture diafisarie

Prevention of wound sepsis remains the prime objective in the management of open fractures. External fixation is the gold standard. Osteomyelitis has been divided into acute, subacute or chronic, based on the time of disease onset. Acute osteomyelitis develops within two weeks after disease onset, subacute osteomyelitis within one to several months and chronic osteomyelitis after a few months. The more recent Cierny-Mader staging system is based on the status of the disease process. The surgical treatment depends on the stage of infection. Empiric antibiotic therapy is not usually recommended.