Removal of Antibiotic Cement-Coated Interlocking Nails.
Journal
Journal of orthopaedic trauma
ISSN: 1531-2291
Titre abrégé: J Orthop Trauma
Pays: United States
ID NLM: 8807705
Informations de publication
Date de publication:
01 06 2022
01 06 2022
Historique:
accepted:
07
10
2021
pubmed:
16
10
2021
medline:
18
6
2022
entrez:
15
10
2021
Statut:
ppublish
Résumé
To report the outcomes of antibiotic cement-coated interlocking nail (ACCIN) removal, detail a removal technique that mitigates debonding of coating, and describe how to address occurrences intraoperatively. Retrospective case series. Level II trauma center. Twenty-eight patients who underwent ACCIN removal between January 2014 and August 2019. Removal of ACCINs that were coated using the silicone tubing method. Successful removal of the nail with intact antibiotic coating. A total of 42 ACCIN removals were included in this study. Successful ACCIN removal was achieved in 37 cases (88.1%), with debonding in only 5 cases (11.9%). Eight nails (19%) required 1 additional removal procedure, and 3 nails (7.1%) required 2 additional removal procedures. The main reasons for the additional procedures were nonunion and persistent infection. ACCIN insertion and removal can be challenging. The proper technique of coating and insertion can facilitate later removal. Removal of knee-long fusion rods can be more challenging. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Identifiants
pubmed: 34653105
doi: 10.1097/BOT.0000000000002287
pii: 00005131-202206000-00008
doi:
Substances chimiques
Anti-Bacterial Agents
0
Bone Cements
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
317-320Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
No funding was received for this study. J.D. Conway is a consultant for Zimmer Biomet, Bonesupport, and Smith+Nephew and receives fellowship support from Biocomposites. The spouse of J.D. Conway receives royalties from the University of Florida. The remaining authors report no conflict of interest. The following organizations supported institution #1: Biocomposites, DePuy Synthes Companies, MHE Coalition, Orthofix, OrthoPediatrics, Pega Medical, Smith+Nephew, Stryker, and Zimmer Biomet.
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