{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T10:23:55Z","timestamp":1761301435700,"version":"build-2065373602"},"reference-count":8,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2008,4,24]],"date-time":"2008-04-24T00:00:00Z","timestamp":1208995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["openorthopaedicsjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TOORTHJ"],"published-print":{"date-parts":[[2008,4,24]]},"abstract":"<jats:p>We present the case of a seventy five year old female diabetic patient, who sustained an inter-trochanteric fracture of her left hip and was treated by dynamic hip screw fixation on the same day. The patient developed multifocal infection with three different and unusual types of bacteria isolated in blood and wound cultures. In spite of aggressive and repeated wound debridement, infection and blood sugar levels were impossible to control until metal removal, which led to fracture malunion. The patient denied further hip reconstruction surgery and ended up mobilizing with a walker and a limp.<\/jats:p>\n                  <jats:p>Multifocal infection is possible even after a routine Orthopaedic procedure on a patient with precipitating factors no more than diabetes mellitus. It is important to be aware of the possibility of simultaneous wound infection and septicemia by different agents.<\/jats:p>","DOI":"10.2174\/1874325000802010059","type":"journal-article","created":{"date-parts":[[2008,5,21]],"date-time":"2008-05-21T15:23:49Z","timestamp":1211383429000},"page":"59-61","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Multifocal Infection After Hip Fracture Fixation: A Case Report"],"prefix":"10.2174","volume":"2","author":[{"given":"K.C","family":"Xarchas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Pelekas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Kitsikidou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.J","family":"Kazakos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.A","family":"Verettas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"965","reference":[{"key":"refR1","doi-asserted-by":"crossref","first-page":"61","DOI":"10.2106\/00004623-199301000-00009","volume":"75","author":"Bodoky A","year":"1993","unstructured":"Bodoky A, Neff U, Heberer M, Harder F. \n                    Antibiotic prophylaxis with two doses of cephalosporin in patients managed with internal fixation for a fracture of the hip \n                    J Bone Joint Surg Am  \n                    1993; \n                    75\n                    : 61-5.","journal-title":"J Bone Joint Surg Am"},{"key":"refR2","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1007\/BF00192477","volume":"18","author":"Parker MJ","year":"1994","unstructured":"Parker MJ, Pryor GA, Myles JW. \n                    The value of a special surgical team in preventing complications in the treatment of hip fractures \n                    Int Orthop  \n                    1994; \n                    18\n                    : 184-8.","journal-title":"Int Orthop"},{"key":"refR3","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.jhin.2005.04.020","volume":"62","author":"Partanen J","year":"2006","unstructured":"Partanen J, Syjala H, Vahanikkila H, Jalovaara P. \n                    Impact of deep infection after hip fracture surgery on function and mortality \n                    J Hosp Infect  \n                    2006; \n                    62\n                    : 44-9.","journal-title":"J Hosp Infect"},{"key":"refR4","doi-asserted-by":"crossref","first-page":"285","DOI":"10.5435\/00124635-200009000-00002","volume":"8","author":"Schmidt AH","year":"2000","unstructured":"Schmidt AH, Swiontkowski MF. \n                    Pathophysiology of infections after internal fixation of fractures \n                    J Am Acad Orthop Surg  \n                    2000; \n                    8\n                    : 285-91.","journal-title":"J Am Acad Orthop Surg"},{"key":"refR5","first-page":"257","volume":"89","author":"Sennoune B","year":"2003","unstructured":"Sennoune B, Koulali KI, Fnini S, et al. \n                    Tuberculous infection after dynamic hip screw osteosynthesis. A case report \n                    Rev Chir Orthop Reparatrice Appar Mot  \n                    2003; \n                    89\n                    : 257-60.","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"refR6","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1046\/j.1537-2995.1999.39070665.x","volume":"39","author":"Carson JL","year":"1999","unstructured":"Carson JL, Altman DG, Duff A, et al. \n                    Risk of bacterial infection associated with allogeneic blood transfusion among patients undergoing hip fracture repair \n                    Transfusion  \n                    1999; \n                    39\n                    : 665-70.","journal-title":"Transfusion"},{"key":"refR7","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1097\/01.bot.0000249435.25751.e8","volume":"20","author":"Johnston P","year":"2006","unstructured":"Johnston P, Wynn-Jones H, Chakravarty D, et al. \n                    Is perioperative blood transfusion a risk factor for mortality or infection after hip fracture? \n                    J Orthop Trauma  \n                    2006; \n                    20\n                    : 675-79.","journal-title":"J Orthop Trauma"},{"key":"refR8","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1007\/s00264-006-0227-3","volume":"31","author":"Cumming D","year":"2007","unstructured":"Cumming D, Parker MJ. \n                    Urinary catheterization and deep wound infection after hip fracture surgery \n                    Int Orthop  \n                    2007; \n                    31\n                    : 483-85.","journal-title":"Int Orthop"}],"container-title":["The Open Orthopaedics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/openorthopaedicsjournal.com\/contents\/volumes\/V2\/TOORTHJ-2-59\/TOORTHJ-2-59.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/openorthopaedicsjournal.com\/contents\/volumes\/V2\/TOORTHJ-2-59\/TOORTHJ-2-59.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/openorthopaedicsjournal.com\/contents\/volumes\/V2\/TOORTHJ-2-59\/TOORTHJ-2-59.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T10:21:25Z","timestamp":1761301285000},"score":1,"resource":{"primary":{"URL":"https:\/\/openorthopaedicsjournal.com\/VOLUME\/2\/PAGE\/59\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,4,24]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2008,4,24]]}},"alternative-id":["TOORTHJ-2-59"],"URL":"https:\/\/doi.org\/10.2174\/1874325000802010059","relation":{},"ISSN":["1874-3250"],"issn-type":[{"type":"print","value":"1874-3250"}],"subject":[],"published":{"date-parts":[[2008,4,24]]},"assertion":[{"value":"Peer Reviewed","order":0,"name":"review_status","label":"Review Status","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Double blind","order":1,"name":"review_process","label":"Review Process","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Checked with iThenticate","order":0,"name":"screening_status","label":"Screening Status","group":{"name":"plagiarism_screening","label":"Plagiarism Screening"}},{"value":"2008-02-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2008-03-12","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2008-03-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2008-04-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}