Intramedullary Antibiotic Depot Does Not Preclude Successful Intramedullary Lengthening or Compression.

Jessica C Rivera, Philip K McClure, Austin T Fragomen, Samir Mehta, S Robert Rozbruch, Janet D Conway

Journal of orthopaedic trauma 2021 Aug 01

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The challenging problem of long bone infection and limb length difference cannot be addressed using only an antibiotic-coated nonmagnetic static nail. The combined use of resorbable calcium sulfate and magnetic lengthening nails offers a possible solution to this dilemma, as well as for infected nonunions that require compression. We present a combined technique to treat or prevent infection using femoral or tibial intramedullary antibiotic delivery with an absorbable calcium sulfate depot and concomitant internal lengthening or compression using a nail. Adequate débridement is required in cases of established infection and is a prerequisite for this technique. Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc.

Citation

Jessica C Rivera, Philip K McClure, Austin T Fragomen, Samir Mehta, S Robert Rozbruch, Janet D Conway. Intramedullary Antibiotic Depot Does Not Preclude Successful Intramedullary Lengthening or Compression. Journal of orthopaedic trauma. 2021 Aug 01;35(8):e309-e314