Indian Journal of Research in Homeopathy

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 11  |  Issue : 1  |  Page : 16--20

Role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fractures


Vikas Chavan, Vimal Kumar Bairwa, Purushottam Jhanwar, Arvind K Bohra 
 Department of Orthopaedics, Jhalawar Medical College, Jhalawar, Rajasthan, India

Correspondence Address:
Dr. Vikas Chavan
Room No. 312, PG Boys Hostel, Jhalawar Medical College, Jhalawar - 326 001, Rajasthan
India

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.


How to cite this article:
Chavan V, Bairwa VK, Jhanwar P, Bohra AK. Role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fractures.J Orthop Traumatol Rehabil 2019;11:16-20


How to cite this URL:
Chavan V, Bairwa VK, Jhanwar P, Bohra AK. Role of antibiotic-impregnated cement intramedullary nail in infected nonunion of long bone diaphyseal fractures. J Orthop Traumatol Rehabil [serial online] 2019 [cited 2019 Sep 17 ];11:16-20
Available from: http://www.jotr.in/article.asp?issn=0975-7341;year=2019;volume=11;issue=1;spage=16;epage=20;aulast=Chavan;type=0