Infectious pseudarthrosis. When do we become active?

Background. Even in the era of modern osteosynthetic procedures, infectious pseudarthrosis following surgical treatment of fractures of long bones represents a challenge for patients, surgeons, insurance companies, industry and ultimately society as a whole. Therapy. The decision on therapy begins with the diagnosis of clinical complaints and functional deficits. The main aspects of surgical treatment are radical resection, sequestrectomy and removal of all foreign bodies with subsequent reconstruction and stabilization of the bone. In parallel to this, comorbidities, antibiotic therapy and plastic surgery coverage of a possible soft tissue defect must be planned and prepared for. For the selection of the reconstruction procedure, the localization, the size of the defect, the spectrum of pathogens, age and desire of the patient are decisive. In the rational and emotional assessment of the situation, an interdisciplinary treatment plan must be developed together with the patient.