Single-Stage Treatment of Fracture-related Infections

J Orthop Trauma. 2021 Aug 1;35(Suppl 2):S42-S43. doi: 10.1097/BOT.0000000000002180.

Abstract

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.

Publication types

  • Video-Audio Media

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Bone Nails
  • Fracture Fixation, Intramedullary*
  • Humans
  • Tibial Fractures* / drug therapy
  • Tibial Fractures* / surgery
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents