Bone Infection Risks After Fracture Surgery: Key Insights - Orthopedics

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I would like to ask the doctor about issues related to bone infections!


Hello Doctor, I suffered a comminuted fracture of my heel at the end of last year.
After treatment, I had a titanium plate installed, and my condition has gradually improved.
However, after acupuncture (which caused severe pain at the time), my ankle began to become increasingly red, swollen, and warm, although I did not experience fever or chills.
Later, at home, my heel ruptured and bled significantly.
After receiving antibiotic treatment, I returned to normal, but when I practiced walking again, my heel and surrounding areas became red, swollen, and enlarged once more.
Despite applying ice, the swelling continued.
Doctor, could this situation indicate a bone infection? Lastly, I would like to ask if antibiotics can affect bone growth.
Thank you very much for your guidance!

Haohao, 30~39 year old female. Ask Date: 2017/05/07

Dr. Shi Guozheng reply Orthopedics


If there is a possibility of infection near the wound affecting the bone, it could lead to osteomyelitis, which is difficult to treat and antibiotics may not be effective.

Reply Date: 2017/05/07

More Info


Understanding the risks of bone infection after fracture surgery is crucial for anyone recovering from such injuries. In your case, having sustained a comminuted fracture of the heel and undergoing surgery with the installation of a titanium plate, it is essential to monitor for signs of infection and other complications closely.

Infections following orthopedic surgeries, particularly those involving fractures, can lead to serious complications, including osteomyelitis, which is an infection of the bone. The symptoms you describe—redness, swelling, and heat around the surgical site—are concerning and could indicate an infection. While the absence of fever and chills is a positive sign, it does not rule out the possibility of an infection. The fact that you experienced significant bleeding from the heel and subsequent swelling after practicing walking further raises the concern for potential complications.

Infections can indeed impede the healing process of bones. When an infection occurs, the body’s immune response can lead to inflammation, which may disrupt the normal healing cascade required for bone regeneration. If the infection is severe or persistent, it can lead to bone necrosis (death of bone tissue), which complicates recovery and may necessitate further surgical intervention, such as debridement or even bone grafting.

Regarding your question about antibiotics and their effect on bone growth, it is important to note that while antibiotics are essential for treating infections, their impact on bone healing can vary. Some studies suggest that certain antibiotics, particularly those in the fluoroquinolone class, may have negative effects on bone healing, especially in younger populations. However, most commonly used antibiotics, such as penicillins or cephalosporins, do not adversely affect bone healing and are often necessary to manage infections effectively.

In your situation, it is crucial to follow up with your orthopedic surgeon or healthcare provider. They may recommend imaging studies, such as X-rays or MRI, to assess the condition of the bone and surrounding tissues. If an infection is confirmed, timely intervention is necessary to prevent further complications.
In summary, while infections post-surgery can pose significant risks to bone healing, the use of antibiotics is vital in managing these infections. It is essential to maintain open communication with your healthcare provider, report any changes in symptoms, and adhere to follow-up appointments to ensure optimal recovery.

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