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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 45 - 52 (8page)
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Antibiotic cement-coated intramedullary nails maintain a locally high antibiotic concentration while contributing to bone stability. We present a case of femoral subtrochanteric fracture in a patient with an infected nonunion who was successfully treated for an infection and nonunion using an antibiotic cement-coated tibial intramedullary nail. A 79-year-old woman with a right femoral subtrochanteric fracture underwent internal fixation using proximal femoral nail antirotation (PFNA). She developed osteomyelitis with nonunion at the surgical site 10 months postoperatively. We decided to insert an antibiotic cement-coated tibial intramedullary nail. After coating the nail with bone cement mixed with antibiotics, bone fixation was achieved by inserting the nail at the site of the PFNA. The patient’s symptoms improved, symptoms from the infection disappeared, and bone union was confirmed. Osteomyelitis occurred because of postoperative infection following a proximal femoral fracture. Antibiotic cement-coated tibial intramedullary nails are an effective option to treat patients with osteomyelitis of the femur and achieve bone union where nonunion persists with shallow a intramedullary femoral canal.
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등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Patzakis MJ / 2005 / Chronic posttraumatic osteomyelitis and infected nonunion of the tibia: current management concepts / J Am Acad Orthop Surg 13:417~427
Zalavras CG / 2004 / Local antibiotic therapy in the treatment of open fractures and osteomyelitis / Clin Orthop Relat Res (427):86~93
Beals RK / 2005 / The treatment of chronic open osteomyelitis of the tibia in adults / Clin Orthop Relat Res (433):212~217
Thonse R / 2007 / Antibiotic cement-coated interlocking nail for the treatment of infected nonunions and segmental bone defects / J Orthop Trauma 21:258~268
Bharti A / 2016 / A simple method for fashioning an antibiotic impregnated cemented rod for intramedullary placement in infected non-union of long bones / J Clin Orthop Trauma 7(Suppl 2):171~176
Zalavras CG / 2004 / Local antibiotic therapy in the treatment of open fractures and osteomyelitis / Clin Orthop Relat Res (427):86~93
Beals RK / 2005 / The treatment of chronic open osteomyelitis of the tibia in adults / Clin Orthop Relat Res (433):212~217
Thonse R / 2007 / Antibiotic cement-coated interlocking nail for the treatment of infected nonunions and segmental bone defects / J Orthop Trauma 21:258~268
Bharti A / 2016 / A simple method for fashioning an antibiotic impregnated cemented rod for intramedullary placement in infected non-union of long bones / J Clin Orthop Trauma 7(Suppl 2):171~176
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