Intramedullary Infections Treated With Antibiotic Cement Rods: Preliminary Results in Nine Cases

@article{Paley2002IntramedullaryIT,
  title={Intramedullary Infections Treated With Antibiotic Cement Rods: Preliminary Results in Nine Cases},
  author={Dror Paley and John E. Herzenberg},
  journal={Journal of Orthopaedic Trauma},
  year={2002},
  volume={16},
  pages={723-729}
}
The treatment of intramedullary infections after nailing usually includes removal of the rod, debridement of the canal, and, in many cases, insertion of antibiotic-impregnated cement beads. These beads offer no mechanical support and are difficult to remove if left in place for more than 2 weeks. We present an alternative for filling the medullary canal's noncollapsible dead space with an antibiotic-impregnated cement rod. This rod can be custom-made at the time of surgery, using different… Expand
Use of antibiotic cement rod to treat intramedullary infection after nailing: preliminary study in 19 patients
TLDR
It is concluded that the antibiotic cement rods could be a relatively effective, simple and inexpensive method of treating intramedullary infections after nailing. Expand
Antibiotic coated hinged threaded rods in the treatment of infected nonunions and intramedullary long bone infections.
TLDR
The use of an antibiotic coated cement threaded rod with a hinge as an intramedullary spacer provides the benefits of local antibiotic delivery, offers improved construct stability, makes implant removal easier without delamination of the cement mantle, and utilizes the versatility of a hinge to prevent violation of native joints when treating infected nonunions and intramingullary long bone infections. Expand
Antibiotic Impregnated Cement Coated Ilizarov Rod For The Management Of Infected Non Union Of Long Bone.
TLDR
The antibiotic impregnated cement coated Ilizarov rod used in this study achieves both infection control and union simultaneously and does not allow cement debonding at removal. Expand
Antibiotic cement-coated nails for the treatment of infected nonunions and segmental bone defects.
TLDR
This novel approach to the treatment of infected nonunions was developed to minimize the number of additional surgical procedures required for infection control and to achieve bone union. Expand
A New Technique for Removing Intramedullary Cement
TLDR
The Reamer Irrigator Aspirator system (Synthes, Paoli, PA) serves as an effective method for removing retained intramedullary cement in infected long bone fractures. Expand
Role of Antibiotic Cement Coated Nailing in Infected Nonunion of Tibia
TLDR
Antibiotic cement impregnated nailing is a simple, economical and effective single stage procedure for the management of infected nonunion of tibia, as it eliminates the complications of external fixators and has good patient compliance. Expand
Antibiotic cement nail for the treatment of posttraumatic intramedullary infections of the tibia: midterm results in 10 cases.
TLDR
The antibiotic cement-coated nail seems to be an effective treatment for intramedullary infections of the fractured tibia using the Kirschner wire-reinforced, antibiotic cement nail. Expand
Role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fractures
TLDR
This study evaluates the effectiveness of antibiotic-impregnated intramedullary nail as a management for infected nonunion of long bones and achieves infection control, promotes bone union, and mechanical stability. Expand
Antibiotic Cement-Coated Interlocking Nail for the Treatment of Infected Nonunions and Segmental Bone Defects
TLDR
Control of infection and stability to promote union has traditionally been provided by 2 separate procedures, which have proved to be efficacious in the past, but both these goals can be achieved in half the patients with 1 surgical procedure in a variety of scenarios using the technique of an antibiotic cement-coated intramedullary nail. Expand
An alternative management option for infected non-union of long bone fractures.
TLDR
The use of an antibiotic cement nail fashioned by hand intra-operatively around a length of nylon tape eliminates the need for further metalwork during the infected stage, thereby reducing the chance of persistent non-union as well as providing some stability across the fracture site. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 23 REFERENCES
Management of infected tibial intramedullary nailing using an organized treatment protocol
  • W. Ueng, C. Shih
  • Medicine
  • European Journal of Orthopaedic Surgery & Traumatology
  • 2007
TLDR
Twenty cases of osteomyelitis following intramedullary nailing of the tibial shaft fracture were managed with a prospective treatment protocol comprising intramingullary reaming debridement, antibiotic-bead depot, external skeletal fixation, microvascular muscle flap and early cancellous bone grafting, believing that this treatment protocol gives a predictable and rapid recovery. Expand
[Treatment of infected intramedullary osteosynthesis. A comparison of various therapeutic procedures].
TLDR
The positive effects of local antibiotic treatment and local myoplasty in posttraumatic bone infection are confirmed in patients with postoperative infection subsequent to intramedullary nailing treated between 1980 and 1989. Expand
[Chronic treatment refractory osteomyelitis of long tubular bones--possibilities and risks of intramedullary boring].
TLDR
Reaming of the medullary canal has a high cure rate in osteomyelitis even after several previous treatment attempts with surgical revision and/or antibiotic medication, and the mechanism is most probably based on improvement of local perfusion. Expand
Leg lengthening over an intramedullary nail.
TLDR
A combination of external fixation and intramedullary nailing for distraction osteogenesis allows early rehabilitation, with a rapid return of knee movement, and there is a lower rate of complications than occurs when external fixation is used on its own. Expand
Treatment of infected nonunion and delayed union of tibia fractures with locking intramedullary nails.
TLDR
Intramedullary nailing combined with open wound management was the treatment in 19 fractures of infected tibial nonunions in 18 patients, and in properly selected cases the treatment was safe and effective. Expand
Tibial Lengthening Over Nails (LON)
TLDR
A method to lengthen adult tibias over intramedullary (IM) nails, which is term “lengthening over nails” (LON) and may outweigh these disadvantages in selected adults. Expand
The Treatment of Noninfected Pseudarthrosis of the Femur and Tibia with Locked Intramedullary Nailing
TLDR
Interlocking nailing offers unique advantages to patients with femoral or tibial shaft pseudarthrosis, which allows early weight-bearing, range of motion of adjacent joints, and reliable rates of consolidation of the nonunions. Expand
[The monorail system--bone segment transport over unreamed interlocking nails].
TLDR
The monorail system can be used as an alternative to the Ilizarov method under certain criteria of patient selection; these criteria are shown by an algorithm for segmental bone defects without infection, respecting the soft-tissue status with or without neurovascular compromise. Expand
Femoral Lengthening Over Nails (LON)
TLDR
A method of lengthening over nails (LON) in which an intramedullary (IM) nail is inserted at the time of the initial external fixator application and corticotomy, which reduced external fixation treatment time by almost half. Expand
Interlocking Nailing of Complex Fractures of the Femur and Tibia
TLDR
The main advantage of interlocking nails is that surgery can be performed using closed nailing techniques, allowing early protected weight-bearing and joint motion, and there is little risk of refracture after implant removal. Expand
...
1
2
3
...