TY - JOUR
A1 - Pisal, Tushar
A1 - Hira, Yuvraj
A1 - Solunke, Swaroop
A1 - Basvaraj Sangam, Shiva
A1 - Patil, Amol
A1 - Gupta, Shubanshu
T1 - Role of antibiotic-impregnated bone cement rod in control of bone infection and assessing its role in union in cases of infective nonunion of long bones
Y1 - 2018/1/1
JF - Journal of Orthopaedics and Allied Sciences
JO - J Orthop Allied Sci
SP - 9
EP - 12
VL - 6
IS - 1
UR - https://www.joas.in/article.asp?issn=2319-2585;year=2018;volume=6;issue=1;spage=9;epage=12;aulast=Pisal
DO - 10.4103/joas.joas_52_17
N2 -
INTRODUCTION: Managing and treating infected nonunion is one of the most challenging clinical scenarios despite numerous advances in the fixation methods, soft-tissue management, and antibiotic therapy. The infection of the fracture site causes internal fixation to become unstable and it slows down fracture healing.
AIMS AND OBJECTIVES: To assess role of antibiotic-impregnated bone cement rod in control of bone infection and assessing its role in union in cases of infective nonunion of long bones.
MATERIALS AND METHODS: This was a prospective study comprising of 30 cases of established infected nonunion of long bones carried out in a tertiary care center in Western Maharashtra. Patients of nonunion of long bone diaphysis with established clinical and laboratory evidence of infection were included in the study.
RESULTS: Twenty-one cases showed complete union at 6 months or earlier. Two more cases showed significant callus formation. In three cases, there was no callus formation at fracture site till 6 months.
DISCUSSION: Various authors in their studies confirmed that gentamicin and vancomycin are antibiotics which maintain activity even after being exposed to the high temperatures resulting from poly (methyl methacrylate) hardening.
CONCLUSION: From our study, we confirm that the use of antibiotic-impregnated bone cement rod has a significant role in control of bone infection and also assists in union in cases of infective nonunion of long bones.
ER -