Treatment of an infected nonunion with additional fresh fracture of the femur with a silver-coated intramedullary nail: A case report.
Coating
FRI
Fracture
Fracture-related infection
Infection
Non-union
Silver
Journal
Trauma case reports
ISSN: 2352-6440
Titre abrégé: Trauma Case Rep
Pays: Netherlands
ID NLM: 101711730
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
accepted:
19
03
2022
entrez:
29
3
2022
pubmed:
30
3
2022
medline:
30
3
2022
Statut:
epublish
Résumé
Infected non-unions of the femur can be difficult to treat with a high risk of reinfection and persisting nonunion. Here we demonstrate a case of a 66-year-old female with a chronic infected nonunion of the left femur. The patient fell during temporary external fixation of the infected nonunion and sustained an additional proximal femur shaft fracture. The case was successfully managed with a low-amount silver coating of a long proximal femur nail and an additional augmentation locking plate along with local and systemic antibiotics. After a follow-up of 26 months, both the fracture and also the infected nonunion healed completely without recurrence of infection and without any signs of adverse events in response to the silver coating. In conclusion, silver coated fracture fixation devices can be helpful in difficult to treat infection cases without adverse events.
Identifiants
pubmed: 35345781
doi: 10.1016/j.tcr.2022.100641
pii: S2352-6440(22)00037-1
pmc: PMC8957057
doi:
Types de publication
Case Reports
Langues
eng
Pagination
100641Informations de copyright
© 2022 The Author.
Déclaration de conflit d'intérêts
Volker Alt is consultant for Bio-Gate AG, Nürnberg, Germany.
Références
J Biomed Mater Res B Appl Biomater. 2010 Jul;94(1):196-202
pubmed: 20524195
J Bone Jt Infect. 2019 Apr 20;4(3):111-114
pubmed: 31192109
Bone Joint J. 2013 Jul;95-B(7):988-92
pubmed: 23814255
Eur J Orthop Surg Traumatol. 2021 Feb;31(2):201-220
pubmed: 32889672
Biotechnol Adv. 2018 Sep - Oct;36(5):1391-1411
pubmed: 29847770
Injury. 2017 Mar;48(3):599-607
pubmed: 28088378
Injury. 2017 Oct;48(10):2235-2241
pubmed: 28734495
J Orthop Surg Res. 2021 Apr 17;16(1):270
pubmed: 33865407