Indications for Antibiotic Cement Nails
Authors:
- Craig S RobertsCRCraig S Roberts
- 1 May 2009
- journal article
- review article
- Published by Wolters Kluwer Health in Journal of Orthopaedic Trauma
- Vol. 23 (Supplement) , S26-S30
Abstract
This article focuses on the surgical indications and techniques of antibiotic nailing of the femur. Spanning external fixation is an essential component of damage control orthopaedics. Fractures of the femur with significant soft tissue injury also often require prolonged external fixation, which increases the risk of infection. Antibiotic nails can sterilize the medullary canal contaminated by external fixator pins and prophylax against nosocomial infection, while the pin tracts heal to prepare the canal environment for a future staged metal nailing. Antibiotic nails may also be used as a bridge to definitive metallic intramedullary nailing after spanning external fixation in patients with multiple injuries or mangled limbs.Keywords
This publication has 15 references indexed in Scilit:
- Treatment of Distal Femur and Proximal Tibia Fractures With External Fixation Followed by Planned Conversion to Internal FixationJournal of Trauma: Injury, Infection & Critical Care, 2008
- Use of antibiotic cement rod to treat intramedullary infection after nailing: preliminary study in 19 patientsArchives of orthopaedic and trauma surgery, 2007
- External Fixation Versus Conversion to Intramedullary Nailing for Definitive Management of Closed Fractures of the Femoral and Tibial ShaftJournal of the American Academy of Orthopaedic Surgeons, 2006
- The Risk of Local Infective Complications After Damage Control Procedures for Femoral Shaft FractureJournal of Orthopaedic Trauma, 2006
- Damage Control OrthopaedicsJournal of Bone and Joint Surgery, 2005
- Intramedullary Infections Treated With Antibiotic Cement Rods: Preliminary Results in Nine CasesJournal of Orthopaedic Trauma, 2002
- Conversion of External Fixation to Intramedullary Nailing for Fractures of the Shaft of the Femur in Multiply Injured Patients*Journal of Bone and Joint Surgery, 2000
- External Fixation of Open Femoral Shaft FracturesThe Journal of Trauma: Injury, Infection, and Critical Care, 1995
- Antibiotic-leaching from polymethylmethacrylate beads.Journal of Bone and Joint Surgery, 1993
- Complex Femur Fractures: Treatment with the Wagner External Fixation Device or the Grosse-Kempf Interlocking Nail1988