THE ROLE OF ANTIBIOTIC-IMPREGNATED CEMENT NAIL IN INFECTED NON-UNION OF TIBIA: A PROSPECTIVE STUDY

Dr. C Maruthi Prasad, Dr. G Dinesh Kumar, Dr. U. Vamsi Krishna

Abstract


Infected non-union of long bones present a complex problem to the treating surgeon. The treatment of non-union
traditionally followed a two-staged procedure. More recently, single-stage procedures such as debridement and
application of Ilizarov xator or use of antibiotic cement impregnated intramedullary nails (ACIINs) have been described in the literature. This is
a report of a prospective study of 20 nonunion cases of tibia treated with antibiotic-impregnated intramedullary nail (ACIIN).
Aims and objectives: To evaluate the results of antibiotic cement impregnated nailing in the management of infected nonunion of tibia.
Materials and methods: This prospective study was done on 20 cases of infected nonunion of the tibia in Government Medical College, Kurnool
during the period 2017-2019. Functional results were evaluated with regards to control of infection, bony union and complications.
Results: Infection was eradicated in 18 cases with ACIIN and the fractures united. One case lost to follow up. In one case, though the infection
was controlled, they required subsequent procedures to achieve bony union.
Conclusion: Antibiotic cement impregnated nailing is a simple, economical and very effective procedure than the traditional methods in
management of infected non-unions of long bones.


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