Infected nonunion of the humerus treated with an antibiotic cement rod. Case report

Non-union infected bone is a chronic impairment disorder that causes severe complications for surgeons. In Pakistan a very limited literature was produced in recent years to evaluate the role of antibiotic impregnated cemented nail in infected non-union of tibia. To fill this gap this prospective study was designed to investigate the role of antibiotic Cement Coated Nailing in Infected Nonunion of Tibia in the Orthopedic Department of Liaqat University of medical and health science, Jamshoro, Pakistan, from February 2019 to February 2020. A total of 30 patients with infected "nonunion of the tibia" was enrolled during the research period. Patients within the age range of 22-61 years were part of this research. For surgery, polymer beads were added into the 40 gm cement which was prepared by adding 2 gm vancomycin and 2 gm teicoplanin. After that endotracheal tube was cut by a surgical knife to recover antibiotic and cement coated k nail. The nail was then inserted into the tibia. Resuts demonstrate that in 28 patients 93% utilization of antibodies cement coated nails helped to eradicate the infection. 24 patients achieved complete bone unification without any need for further procedure. The overall ratio of single-time antibiotic cement coated nail was observed as 70%. The infected nonunion tibia can be effectively treated if the protocol of debridement is correctly followed. Results demonstrate that bone stability can be regained with 22 to 44 weeks. We concluded that antibiotic-impregnated cemented nail is an ideal procedure to control the postoperative infection and achieve reunion.

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Traumatic First Metatarsal Bone Loss Treated with a Staged Method Using an Antibiotic Cement Spacer and Subsequent Autografting: A Case Report

European Journal of Trauma and Emergency Surgery ◽

10.1007/s00068-008-7183-0 ◽

2008 ◽

Vol 34 (4) ◽

pp. 418-420

Author(s):

Jukka Ristiniemi ◽

Pekka Jalovaara

Keyword(s):

Case Report ◽

Bone Loss ◽

Metatarsal Bone ◽

Cement Spacer ◽

First Metatarsal ◽

Antibiotic Cement

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Using antibiotic cement nail with multiple screws fixation as a single-stage salvage procedure for patient with infected tibiotalocalcaneal arthrodesis: A case report

Journal of Orthopaedic Surgery ◽

10.1177/2309499019899572 ◽

2020 ◽

Vol 28 (1) ◽

pp. 230949901989957

Author(s):

Yen-Chun Chiu ◽

I-Chien Chen ◽

Shih-Chieh Yang ◽

Shyh-Ming Kuo ◽

Yu-Hsien Kao ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Clinical Outcomes ◽

Axial Loading ◽

Salvage Procedure ◽

Union Rate ◽

Tibiotalocalcaneal Arthrodesis ◽

Antibiotic Cement ◽

Extensive Debridement ◽

Retrograde Nail

Tibiotalocalcaneal (TTC) arthrodesis with retrograde nail is a widely used treatment option for severe ankle arthropathy. With inherent biomechanical benefits in axial loading and strong bending stiffness, high union rate and good clinical outcomes have been reported in the literature. However, some undesired complications, such as osteomyelitis or implant failure, can develop after this procedure. Herein, we report the case of an 86-year-old man with right ankle osteomyelitis after TTC arthrodesis with retrograde nail. After removing the previous implants and extensive debridement, we used an antibiotic cement nail with multiple screws fixation as a salvage procedure in the same operation. The patient fully recovered without further surgical treatment.

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