| Autor: |
Abdul K, Zalikha, Zain, Sayeed, Sasha A, Stine, Ryan, Bray, Rahul, Vaidya |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
Journal of Orthopaedic Trauma. 37:e1-e6 |
| ISSN: |
0890-5339 |
| Popis: |
To evaluate outcomes using an interlocking antibiotic cement-coated nail and culture-specific systematic antibiotics in the treatment of infected nonunion after intramedullary nailing.Retrospective observational cohort study.Urban level I trauma center.Forty-one nonconsecutive patients who presented to a level I trauma center who underwent interlocked antibiotic nailing for treatment of infected nonunion status after primary intramedullary nailing.Eradication of infection, radiographic union by 2-year follow-up.Antibiotic nailing successfully eradicated infection and led to fracture healing in 35 patients (85.4%), while 6 patients (14.6%) had persistent infection and required further surgical treatment. Of the 6 patients who required further treatment, 5 eventually went on to heal with fracture union and eradication of their infection, while 1 required a salvage procedure. Of the 5 patients who eventually went on to heal, 4 of them healed with repeat antibiotic or intramedullary nails, while 1 required segmental resection and bone grafting before healing.This study suggests that the proposed interlocked antibiotic nailing technique is a viable therapeutic option to eradicate infected nonunion and support fracture healing.Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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