Fluorescence-guided and molecularly-guided debridement : identifying devitalized and infected tissue in orthopaedic trauma

Following orthopaedic trauma, bone devitalization is a critical determinant of complications such as infection or nonunion. Intraoperative assessment of bone perfusion has thus far been limited. Furthermore, treatment failure for infected fractures is unreasonably high, owing to the propensity of biofilm to form and become entrenched in poorly vascularized bone. Fluorescence-guided surgery and molecularly-guided surgery could be used to evaluate the viability of bone and soft tissue and detect the presence of planktonic and biofilm-forming bacteria. This proceedings paper discusses the motivation behind developing this technology and our most recent preclinical and clinical results.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:12361

Enthalten in:

Proceedings of SPIE--the International Society for Optical Engineering - 12361(2023) vom: 11. Jan.

Sprache:

Englisch

Beteiligte Personen:

Elliott, Jonathan Thomas [VerfasserIn]
Henderson, Eric [VerfasserIn]
Streeter, Samuel S [VerfasserIn]
Demidov, Valentin [VerfasserIn]
Han, Xinyue [VerfasserIn]
Tang, Yue [VerfasserIn]
Sottosanti, J Scott [VerfasserIn]
Bateman, Logan [VerfasserIn]
Brůža, Petr [VerfasserIn]
Jiang, Shudong [VerfasserIn]
Gitajn, I Leah [VerfasserIn]

Links:

Volltext

Themen:

Dynamic contrast-enhanced fluorescence imaging
Fluorescence-guided surgery
Indocyanine green imaging
Journal Article
Necrotizing soft-tissue infections
Orthopaedic surgery

Anmerkungen:

Date Revised 31.10.2023

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1117/12.2661243

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355612968