Clinical Innovation
Antibiotic-Coated Nails in Infected Tibial Nonunion
Intra-operatively fabricated antibiotic cement-coated nails used for single-stage management of infected tibial nonunion.
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Specialty
Trauma & Fracture Care
Location
Guwahati, Assam
Published
3 Dec 2022
Research type
Case Series
Abstract
Demo abstract. Nails were coated in theatre using a chest-drain mould technique, allowing single-stage debridement, stabilisation and local antibiotic delivery.
Description
The technique was chosen for its low cost and independence from commercial coated implants.
Union, infection control and the need for further procedures were tracked for two years.
Innovation / discovery
In-theatre fabrication kept the approach viable where pre-coated implants are unavailable.
Surgical / procedural method
Thorough debridement, reaming, cement-coated nail insertion, culture-directed systemic antibiotics.
Research findings
- Infection control was achieved in most demo cases without further debridement.
- Union required supplementary bone grafting in a minority.
- Nail removal was straightforward when planned in advance.
Attached documents
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Fabrication technique note
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