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Local bone and soft tissue debridement.
The mean operative time was 35 min (time for irrigation and soft tissue debridement was not included).
Owing to the soft tissue conditions, the docking manoeuvre was carried out as a compression docking without additional plating or cancellous bone graft 1. Local bone and soft tissue debridement 2.
Open image in new window Fig. 3 Clinical intra-operative photograph demonstrating level of soft tissue debridement and exposure of distal femoral condyles prior to acute femoral shortening and distal definitive soft tissue closure.
When osteomyelitis was diagnosed, bone debridement was performed in addition to soft tissue debridement.
Soft tissue debridement and retention of the prosthesis is often used to treat acute PJIs.
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When soft tissue debridements for infection were taken into account, the incidence in this series was higher than in our previous experience.
The mean AOFAS score was 90 and only one patient required soft-tissue debridement for anterior impingement postoperatively.
Although it is widely accepted that emergency irrigation and soft-tissue debridement are the cornerstones of initial care for open fractures, there is no consensus on the best method of obtaining and maintaining alignment and stability of the tibia.
In 14 cases (33 %), only minor revision surgery such as soft-tissue debridement or jet lavage were necessary.
Sixteen patients had 25 minor pin site infections, Checketts-Otterburns grades 1 3, all of which subsided with short-term oral antibiotics and two had pin tract infections grade 4 that healed after soft-tissue debridement.
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