The antibiotic bead pouch – a useful technique for temporary soft tissue coverage, infection prevention and therapy in trauma surgery
<p>Soft tissue defects resulting from trauma and musculoskeletal infections can complicate surgical treatment. Appropriate temporary coverage of these defects is essential to achieve the best outcomes for necessary plastic soft tissue defect reconstruction. The antibiotic bead pouch technique...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Copernicus Publications
2023-06-01
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| Series: | Journal of Bone and Joint Infection |
| Online Access: | https://jbji.copernicus.org/articles/8/165/2023/jbji-8-165-2023.pdf |
| _version_ | 1797798475343069184 |
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| author | M. Rupp N. Walter D. Szymski C. Taeger M. F. Langer V. Alt |
| author_facet | M. Rupp N. Walter D. Szymski C. Taeger M. F. Langer V. Alt |
| author_sort | M. Rupp |
| collection | DOAJ |
| description | <p>Soft tissue defects resulting from trauma and musculoskeletal infections can
complicate surgical treatment. Appropriate temporary coverage of these
defects is essential to achieve the best outcomes for necessary plastic soft
tissue defect reconstruction. The antibiotic bead pouch technique is a
reasonable surgical approach for managing temporary soft tissue defects
following adequate surgical debridement. This technique involves the use of
small diameter antibiotic-loaded bone cement beads to fill the dead space
created by debridement. By applying antibiotics to the bone cement and
covering the beads with an artificial skin graft, high local dosages of
antibiotics can be achieved, resulting in the creation of a sterile wound
that offers the best starting position for soft tissue and bone defect
reconstruction.</p>
<p>This narrative review describes the rationale for using this technique,
including its advantages and disadvantages, as well as pearls and pitfalls
associated with its use in daily practice. In addition, the article provides
a comprehensive overview of the literature that has been published since the
technique was introduced in surgical practice.</p> |
| first_indexed | 2024-03-13T04:04:17Z |
| format | Article |
| id | doaj.art-7405e3ff926143a8a82e2fc21efd7c6c |
| institution | Directory Open Access Journal |
| issn | 2206-3552 |
| language | English |
| last_indexed | 2024-03-13T04:04:17Z |
| publishDate | 2023-06-01 |
| publisher | Copernicus Publications |
| record_format | Article |
| series | Journal of Bone and Joint Infection |
| spelling | doaj.art-7405e3ff926143a8a82e2fc21efd7c6c2023-06-21T08:57:11ZengCopernicus PublicationsJournal of Bone and Joint Infection2206-35522023-06-01816517310.5194/jbji-8-165-2023The antibiotic bead pouch – a useful technique for temporary soft tissue coverage, infection prevention and therapy in trauma surgeryM. Rupp0N. Walter1D. Szymski2C. Taeger3M. F. Langer4V. Alt5Department of Trauma Surgery, University Hospital Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, GermanyDepartment of Trauma Surgery, University Hospital Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, GermanyDepartment of Trauma Surgery, University Hospital Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, GermanyPlastische Chirurgie & Ästhetik an der Isar, Widenmayerstraße 16, 80538 Munich, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, Waldeyerstrasse 1, 48149 Muenster, GermanyDepartment of Trauma Surgery, University Hospital Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany<p>Soft tissue defects resulting from trauma and musculoskeletal infections can complicate surgical treatment. Appropriate temporary coverage of these defects is essential to achieve the best outcomes for necessary plastic soft tissue defect reconstruction. The antibiotic bead pouch technique is a reasonable surgical approach for managing temporary soft tissue defects following adequate surgical debridement. This technique involves the use of small diameter antibiotic-loaded bone cement beads to fill the dead space created by debridement. By applying antibiotics to the bone cement and covering the beads with an artificial skin graft, high local dosages of antibiotics can be achieved, resulting in the creation of a sterile wound that offers the best starting position for soft tissue and bone defect reconstruction.</p> <p>This narrative review describes the rationale for using this technique, including its advantages and disadvantages, as well as pearls and pitfalls associated with its use in daily practice. In addition, the article provides a comprehensive overview of the literature that has been published since the technique was introduced in surgical practice.</p>https://jbji.copernicus.org/articles/8/165/2023/jbji-8-165-2023.pdf |
| spellingShingle | M. Rupp N. Walter D. Szymski C. Taeger M. F. Langer V. Alt The antibiotic bead pouch – a useful technique for temporary soft tissue coverage, infection prevention and therapy in trauma surgery Journal of Bone and Joint Infection |
| title | The antibiotic bead pouch – a useful technique for temporary soft tissue coverage, infection prevention and therapy in trauma surgery |
| title_full | The antibiotic bead pouch – a useful technique for temporary soft tissue coverage, infection prevention and therapy in trauma surgery |
| title_fullStr | The antibiotic bead pouch – a useful technique for temporary soft tissue coverage, infection prevention and therapy in trauma surgery |
| title_full_unstemmed | The antibiotic bead pouch – a useful technique for temporary soft tissue coverage, infection prevention and therapy in trauma surgery |
| title_short | The antibiotic bead pouch – a useful technique for temporary soft tissue coverage, infection prevention and therapy in trauma surgery |
| title_sort | antibiotic bead pouch a useful technique for temporary soft tissue coverage infection prevention and therapy in trauma surgery |
| url | https://jbji.copernicus.org/articles/8/165/2023/jbji-8-165-2023.pdf |
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