EC Orthopaedics

Introduction and Aim: Infections related to osteosynthesis hardware (IMO) represent a serious complication in orthopaedic surgery, with significant clinical and economic consequences. Surgical site infections associated with implanted devices remain a major concern due to increased morbidity, prolonged treatment duration, and healthcare costs [1,2]. The aim of this study was to describe the epidemiological, clinical, and microbiological aspects of osteosynthesis hardware infections at the Gabriel Touré University Hospital Center.

Materials and Methods: This was a retrospective and prospective study conducted from January 1, 2024, to December 31, 2024, including 40 patients presenting with osteoarticular infection.

Results: The frequency of IMO was 8.3% of surgical procedures, with a predominance among young men (80%, mean age 33.2 years). Open fractures (55%) and road traffic accidents (67.5%) were the main associated factors. Staphylococcus aureus was the most common pathogen (35%), showing high sensitivity to gentamicin. Hardware removal (60%) combined with appropriate antibiotic therapy led to a favorable outcome in 90% of cases; however, complications (nonunion, osteitis, amputation) occurred in 10% of patients.

Conclusion: Osteosynthesis hardware infections remain a major challenge, requiring early and multidisciplinary management. Strengthening preventive measures, optimizing antibiotic therapy, and improving aseptic conditions are essential to reduce their incidence and improve clinical outcomes.

Keywords: Infections; Osteosynthesis Hardware; Staphylococcus aureus; Open Fractures; Prevention; Bamako; Mali

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