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...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-01-01
|
| Series: | Journal of Orthopedics, Traumatology and Rehabilitation |
| Subjects: | |
| Online Access: | http://www.jotr.in/article.asp?issn=0975-7341;year=2019;volume=11;issue=1;spage=16;epage=20;aulast=Chavan |
| _version_ | 1828900969695412224 |
|---|---|
| author | Vikas Chavan Vimal Kumar Bairwa Purushottam Jhanwar Arvind K Bohra |
| author_facet | Vikas Chavan Vimal Kumar Bairwa Purushottam Jhanwar Arvind K Bohra |
| author_sort | Vikas Chavan |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-13T15:55:03Z |
| format | Article |
| id | doaj.art-f7cf2c837fce481d990087f15c8ad710 |
| institution | Directory Open Access Journal |
| issn | 0975-7341 |
| language | English |
| last_indexed | 2024-12-13T15:55:03Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopedics, Traumatology and Rehabilitation |
| spelling | doaj.art-f7cf2c837fce481d990087f15c8ad7102022-12-21T23:39:21ZengWolters 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 |
| 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 |
| title | 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_short | 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 |
| 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 |
| work_keys_str_mv | AT vikaschavan roleofantibioticimpregnatedcementintramedullarynailininfectednonunionoflongbonediaphysealfractures AT vimalkumarbairwa roleofantibioticimpregnatedcementintramedullarynailininfectednonunionoflongbonediaphysealfractures AT purushottamjhanwar roleofantibioticimpregnatedcementintramedullarynailininfectednonunionoflongbonediaphysealfractures AT arvindkbohra roleofantibioticimpregnatedcementintramedullarynailininfectednonunionoflongbonediaphysealfractures |