| 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
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jotr.jotr_4_19
|
|
|
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.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
