Single-Stage Treatment of Fracture-related Infections. (August 2021)

• Record Type: Journal Article
• Authors: Rice, Olivia M.; Phelps, Kevin D.; Seymour, Rachel; Askam, Brad M.; Kempton, Laurence B.; Chen, Andrew; Dart, Scott; Hsu, Joseph R.
• Is Part Of: Journal of orthopaedic trauma. Volume 35(2021)Supplement 2
• Publication Date: 2021-08
• Subjects: fracture-related infection -- nonunion -- osteomyelitis -- antibiotic-cement; Orthopedics -- Periodicals; Wounds and injuries -- Periodicals; Orthopedics -- Periodicals; Wounds and Injuries -- therapy -- Periodicals; Periodicals; 617.47044
• DOI: 10.1097/BOT.0000000000002180
• Languages: English
• ISSNs: 0890-5339

Abstract

Abstract : Summary: Fracture-related infections (FRIs) remain a significant problem. Many approach FRI cases in a staged fashion, focusing on infection eradication initially and fracture union during subsequent procedures. The literature quotes high success rates with this strategy. However, associated patient morbidity and economic impact are noteworthy. A single-stage FRI treatment, using an antibiotic-coated locked intramedullary nail, also exists. This video details low-cost, antibiotic-coated locked intramedullary nail fabrication in the operating room alongside preliminary results using this technique for acute FRI and septic nonunion treatment.