Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Dec 19:10:1043251.
doi: 10.3389/fped.2022.1043251. eCollection 2022.

Surgery's role in contemporary osteoarticular infection management

Affiliations
Review

Surgery's role in contemporary osteoarticular infection management

Giacomo De Marco et al. Front Pediatr. .

Erratum in

Abstract

The treatment paradigm for osteoarticular infections (OAIs) has changed drastically over the past 80 years, from the advent of penicillin to the use of broad-spectrum antibiotics. Before these drugs, surgery was the only available treatment for OAIs; today, antibiotic therapy is considered the primary response to them. As a result, surgical treatment of OAIs is thus far more rarely indicated, sometimes even considered outdated and obsolete. However, long experience has taught us that many OAI contexts can still benefit from surgical management, constituting an essential complement to medical treatment. The present article seeks to contextualize this discussion by providing a chronological review of the surgical treatments used in cases of OAI and describing the quality of evidence supporting their rehabilitation in well-established situations.

Keywords: abscess; drainage; infection; management; necrotic; osteoarticular; punction; surgery.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

    1. Gutierrez K. Bone and joint infection. In: Long SS PL, Prober CG, eds. Principles and practice of pediatric infectious disease. 2nd ed. Philadelphia, PA: Churchill Livingstone; (2003). p. 467–74.
    1. Pääkkönen M, Peltola H. Simplifying the treatment of acute bacterial bone and joint infections in children. Expert Rev Anti-Infect Ther. (2011) 9(12):1125–31. 10.1586/eri.11.140 - DOI - PubMed
    1. Yagupsky P. Microbiological diagnosis of skeletal system infections in children. Curr Pediatr Rev. (2019) 15:154–63. 10.2174/1573396315666190408114653 - DOI - PubMed
    1. Luhmann JD, Luhmann SJ. Etiology of septic arthritis in children: an update for the 1990s. Pediatr Emerg Care. (1999) 15(1):40–2. 10.1097/00006565-199902000-00012 - DOI - PubMed
    1. Coulin B, Demarco G, Spyropoulou V, Juchler C, Vendeuvre T, Habre C, et al. Osteoarticular infection in children. Bone Joint J. (2021) 103(3):578–83. 10.1302/0301-620X.103B3.BJJ-2020-0936.R2 - DOI - PubMed