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Treatment of Acute Infection

Dr. Prokuski is Associate Professor, Department of Orthopedics and Rehabilitation, University of Wisconsin Hospitals and Clinics, Madison, WI.

Neither Dr. Prokuski nor the department with which she is affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article.

Military injuries are classically thought of as being limited to penetrating trauma caused by gunshot and blast injuries. However, blunt trauma caused by motor vehicle crashes and crush injuries can produce severe open injuries in the extremities. Most military injuries involve a higher level of energy than is commonly seen in civilian injuries, and the environment can be austere. These factors contribute to the development of infections that appear shortly after musculoskeletal trauma. Thus, the orthopaedic surgeon must know how to treat anaerobic soft-tissue infection, including clostridial fasciitis, clostridial myonecrosis, and tetanus; bacterial necrotizing fasciitis; and both superficial and deep bacterial wound infections.

This article has been cited by other articles:

				the American Academy of Orthopaedic Surgeons Patie and R. P. Evans Surgical Site Infection Prevention and Control: An Emerging Paradigm J. Bone Joint Surg. Am., November 1, 2009; 91(Supplement_6): 2 - 9. [Full Text] [PDF]