Hand Infection Treatment Wichita KS

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Kenneth Jansson
(316) 631-1600
2778 N Webb Rd
Wichita, KS
Business
Advanced Orthopaedics Associates
Specialties
Orthopedics, Sports Medicine, Arthroscopic Surgery
Insurance
Insurance Plans Accepted: Almost all insurance plans accepted.
Medicare Accepted: Yes
Workmens Comp Accepted: Yes
Accepts Uninsured Patients: Yes

Doctor Information
Primary Hospital: Kansas Surgery and Recovery Center; Surgicare of Wichita
Residency Training: Wilford Hall USAF Medical Center, Lackland AFB, TX
Medical School: Darthmouth, 1982
Additional Information
Member Organizations: American College of Sports Medicine American Medical Association American Medical Society for Sports Medicine American Orthopaedic Society for Sports Medicine Arthroscopy Association of North America Fellow American Academy of Orthopaedic Surgeo


Data Provided By:
Samuel C Jack, MD FACS
2121 W Maple St
Wichita, KS
Gender
Male
Education
Medical School: Oklahoma
Graduation Year: 1955

Data Provided By:
Ryan Woodward Livermore, MD
(316) 268-5988
Ortho Res Program 929 N St Francis
Wichita, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Southern Il Univ Sch Of Med, Springfield Il 62794
Graduation Year: 2002

Data Provided By:
George Lamoyne Lucas, MD
(316) 689-9495
929 N Saint Francis St
Wichita, KS
Specialties
Orthopedics, Hand Surgery
Gender
Male
Languages
Spanish
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1961
Hospital
Hospital: Wesley Med Ctr, Wichita, Ks; Via Christi Reg Med Ctr -St F, Wichita, Ks
Group Practice: Wichita Clinic

Data Provided By:
Steven J Howell, MD
(316) 838-2020
1507 W 21st St N
Wichita, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1986

Data Provided By:
Suhail Akhter Ansari, MD
(413) 221-3078
517 E Douglas Ave Apt 501
Wichita, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Grant Med Coll, Univ Of Bombay, Bombay, Maharashtra, India
Graduation Year: 1983
Hospital
Hospital: Southwest Med Ctr, Liberal, Ks; Morton County Hosp, Elkhart, Ks; Stevens County Hosp, Hugoton, Ks
Group Practice: Orthopaedic Specialists

Data Provided By:
Bradley C Daily, MD
(316) 268-5988
Ortho Res Program 929 N St Francis
Wichita, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 2001

Data Provided By:
Valerie Anne Deardorff, MD
(316) 268-5988
Ortho Res Program 929 N St Francis
Wichita, KS
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 2001

Data Provided By:
Ryan Mclean Stuckey
(316) 962-3030
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Michael P Estivo
(316) 945-9915
731 N Mclean Blvd
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Data Provided By:

Diagnosis and Treatment of Hand Infections

In this article, hand surgeons from the Walter Reed National Military Medical Center in Washington, D.C. offer us a review of rare, but potentially disabling hand infections. They focus on two infections of the wrist, hand, or fingers: osteomyelitis and septic arthritis. Causes, type of bacteria involved, patient symptoms, diagnosis, and treatment are summarized for each condition. Complications with and without treatment are also presented.

Osteomyelitis is an infection of the bone or bone marrow that can affect the hand. The most common infecting bacteria are staph, strep, and e coli. Undiagnosed, delayed diagnosis, or untreated, any of these infectious agents can cause destruction of the joint. Loss of motion, impaired function, and eventual arthritis with pain, stiffness, and disability can occur. The disease process can get so bad, a person can lose the affected hand.

How does a person get osteomyelitis of the hand or wrist? There are three main mechanisms: 1) puncture wounds (e.g., human bites, thorns, fractures, and surgery), 2) spread from infection of nearby soft tissues, and 3) spread through the blood system from any other infection in the body.

The immune system sets up an inflammatory response and tries to wall off the infection. In the healthy child or adult, this reaction may be enough to take care of the problem. But malnutrition, smoking, medications that suppress the immune system, and cancer or other health problems can put the patient at a disadvantage for self-healing.

In the case of one particular bacteria (methicillin resistant Staphylococcus aureus or MRSA, pronounced "mersa"), even healthy people can be affected. Tissue invasion and severe bone destruction can occur quickly. That's why early diagnosis and immediate treatment is recommended for hand infections of this type.

How does the hand surgeon know a patient has an osteomyelitis-linked hand infection? There are usually visual signs (swelling, redness, warmth) and pain. The patient may have a fever with chills and fatigue. These flu-like symptoms are a red flag of systemic (system-wide) infection. Blood tests and imaging studies possibly including X-rays, bone scans, PET scans, MRIs, and other more advanced imaging aid in making the diagnosis.

Once it's clear what the surgeon is dealing with, then treatment begins. Antibiotics may be all that's needed if the problem is identified and caught early. But most of the time, surgery is needed to debride (clean out) the area. This surgical procedure is followed by a course of antibiotics as well.

It may be necessary to perform more than one debridement, a process called serial debridement. Serial debridement is done until the affected area is clear of infection. The whole process can take six weeks or more. If the infection has occurred around an implant (e.g., joint replacement or hardware used to repair a fracture), the implant may have to be removed before debridement and antibiot...

Click here to read the rest of this article from eOrthopod.com