To study the clinical, radiological and functional outcome of antibiotic mixed cement coated nails in infected long bone diaphyseal fractures

Dr Suresh Uikey,Dr Vinay Kumar Oddam,Dr Rahul Verma

doi:10.17511/ijoso.2017.i04.13

Abstract

To study the clinical, radiological and functional outcome of antibiotic mixed cement coated nails in infected long bone diaphyseal fractures

Highlights

Long bone fractures are debilitating injuries commonly resulting from high-energy trauma
Results were evaluated with regard to infection control, radiological sign of union and ability to bear weight without pain.In our series of 20 cases, comprise 10 tibias, 9 femurs and 1 humerus. 40% of cases presented with infected intramedullary implant in-situ and another 40% patient have external fixator ex-situ, 1 patient was with infected plate in situ
10 (50%) cases showed excellent result with eradication of infection, achieved boy union and able to bear weight without pain with good patient compliance.Good result in around 40% of fractures where infection controlled with some signs of union and patients were able to bear weight with some pain but there is need of secondary procedure like bone grafting to Available online at: www.surgicalreview.in 171 | P a g e achieve complete union

Summary

Introduction

Long bone fractures are debilitating injuries commonly resulting from high-energy trauma. In Present Era, High velocity trauma are common trends leading to compound long bone fractures These fractures have high chance of infection which further leads to infected non-union. Multistage procedure such as debridement and systemic antibiotics with temporary fixation and permanent fixation and bone grafting when required. The aim of this study is to analyze clinical, functional and radiological outcome of antibiotic mixed cement coated nailing in infected long bone diaphyseal fractures. Material and Methods: In our prospective study, 20 patients of 17-70 years of age group with infected long bone diaphyseal fractures were treated using antibiotic mixed cement coated intramedullary nails. Conclusion: Antibiotic Mixed Cement Coated Nailing was a good procedure to achieve infection control, provide stability and bone union in infected long bone fractures

Objectives

Methods

Results

Conclusion