Role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fractures
Introduction: Infected nonunion of long bones is a chronic and debilitating disorder to manage. The problems in treating them are infection, instability, and deformity. This study aims to evaluate the effectiveness of antibiotic-impregnated intramedullary nail as a management for infected nonunion o...
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Wolters Kluwer Medknow Publications
2019-01-01
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Online Access: | http://www.jotr.in/article.asp?issn=0975-7341;year=2019;volume=11;issue=1;spage=16;epage=20;aulast=Chavan |
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doaj-f7cf2c837fce481d990087f15c8ad7102020-11-25T04:06:53ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412019-01-01111162010.4103/jotr.jotr_4_19Role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fracturesVikas ChavanVimal Kumar BairwaPurushottam JhanwarArvind K BohraIntroduction: Infected nonunion of long bones is a chronic and debilitating disorder to manage. The problems in treating them are infection, instability, and deformity. This study aims to evaluate the effectiveness of antibiotic-impregnated intramedullary nail as a management for infected nonunion of long bones. Materials and Methods: A total of 12 cases of infected nonunion of long bones (10 – tibia and 2 – femur) without bone loss and age group of more than 18 years are treated using antibiotic cement-coated k-nail. Antibiotics used are vancomycin 4 g and clindamycin 2 g. The average duration of retention of antibiotic nail was 24 weeks. Results: At follow-up, infection was controlled in 90% of cases. Bony union achieved in 8 out of 12 cases (66%). Rest 4 cases required further additional procedures. Recurrence of infection occurred in two cases. Conclusions: This is a very effective and economical with better patient compliance. This method achieves infection control, promotes bone union, and mechanical stability.http://www.jotr.in/article.asp?issn=0975-7341;year=2019;volume=11;issue=1;spage=16;epage=20;aulast=Chavanaciinsantibiotic coated nailsinfected nonunionk-nailnon-union |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Vikas Chavan Vimal Kumar Bairwa Purushottam Jhanwar Arvind K Bohra |
spellingShingle |
Vikas Chavan Vimal Kumar Bairwa Purushottam Jhanwar Arvind K Bohra Role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fractures Journal of Orthopedics, Traumatology and Rehabilitation aciins antibiotic coated nails infected nonunion k-nail non-union |
author_facet |
Vikas Chavan Vimal Kumar Bairwa Purushottam Jhanwar Arvind K Bohra |
author_sort |
Vikas Chavan |
title |
Role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fractures |
title_short |
Role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fractures |
title_full |
Role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fractures |
title_fullStr |
Role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fractures |
title_full_unstemmed |
Role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fractures |
title_sort |
role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fractures |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Orthopedics, Traumatology and Rehabilitation |
issn |
0975-7341 |
publishDate |
2019-01-01 |
description |
Introduction: Infected nonunion of long bones is a chronic and debilitating disorder to manage. The problems in treating them are infection, instability, and deformity. This study aims to evaluate the effectiveness of antibiotic-impregnated intramedullary nail as a management for infected nonunion of long bones. Materials and Methods: A total of 12 cases of infected nonunion of long bones (10 – tibia and 2 – femur) without bone loss and age group of more than 18 years are treated using antibiotic cement-coated k-nail. Antibiotics used are vancomycin 4 g and clindamycin 2 g. The average duration of retention of antibiotic nail was 24 weeks. Results: At follow-up, infection was controlled in 90% of cases. Bony union achieved in 8 out of 12 cases (66%). Rest 4 cases required further additional procedures. Recurrence of infection occurred in two cases. Conclusions: This is a very effective and economical with better patient compliance. This method achieves infection control, promotes bone union, and mechanical stability. |
topic |
aciins antibiotic coated nails infected nonunion k-nail non-union |
url |
http://www.jotr.in/article.asp?issn=0975-7341;year=2019;volume=11;issue=1;spage=16;epage=20;aulast=Chavan |
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