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

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

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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jotr.jotr_4_19

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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.

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