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Commercially available antibiotic-laden PMMA-covered locking nails for the treatment of fracture-related infections - A retrospective case analysis of 10 cases
dc.contributor.author | JORGE MORA, ALBERTO AGUSTIN | |
dc.contributor.author | AMHAZ ESCANLAR, SAMER | |
dc.contributor.author | Fernández Pose, Sabela | |
dc.contributor.author | García Iglesias, Adrian | |
dc.contributor.author | Mandía Mancebo, Fermin Julián | |
dc.contributor.author | FRANCO TREPAT, ELOI | |
dc.contributor.author | Guillán Fresco, María | |
dc.contributor.author | Pino Mínguez, Jesús | |
dc.date.accessioned | 2021-10-13T10:48:10Z | |
dc.date.available | 2021-10-13T10:48:10Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 2206-3552 | |
dc.identifier.other | https://www.ncbi.nlm.nih.gov/pubmed/31555500 | |
dc.identifier.other | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6757014/pdf/jbjiv04p0155.pdf | |
dc.identifier.uri | http://hdl.handle.net/20.500.11940/15484 | |
dc.description.abstract | Introduction: Fracture-related infections (FRIs) are a devastating complication. FRIs are challenging and should be addressed with a multidisciplinary approach. An FRI should be addressed surgically by non-viable bone debridement, local antibiotic deposition, minimization of dead space and fracture stabilization. Antibiotic-laden PMMA-covered nails are a viable option to face these complications. To demonstrate the safety and utility of commercially available antibiotic-laden PMMA-covered nails, we performed a review of the cases operated in our institution and a cost analysis to compare the cost of a commercial nail to other available alternatives. Material and methods: We designed a retrospective study of consecutive cases to demonstrate the safety and efficacy of antibiotic-laden PMMA-covered commercial nails and designed a cost analysis of commercial coated nails compared to other custom-made alternatives. Results: We treated seven tibias and three femurs. Nine patients fully fit the criteria for FRI. There was one case of reintervention because of persistent drainage. All fractures healed, and in the first year post-intervention, there were no signs or symptoms of infection. There were no complications related to the commercially available nail that was used. There is a small increase in the direct quantifiable cost in commercially available nails, but non-quantifiable cost should be assessed individually. Conclusions: Commercially available antibiotic-laden PMMA-covered nails are a safe and useful treatment option for complicated cases of lower limb long bone reconstruction. The low complication rate and the straightforward technique compensate for the direct cost increase in most situations. | |
dc.rights | Atribución 4.0 Internacional | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.title | Commercially available antibiotic-laden PMMA-covered locking nails for the treatment of fracture-related infections - A retrospective case analysis of 10 cases | |
dc.type | Artigo | es |
dc.authorsophos | Pino Mínguez, Jesús | |
dc.authorsophos | Jorge Mora, Alberto Agustin | |
dc.authorsophos | Amhaz Escanlar, Samer | |
dc.authorsophos | Franco Trepat, Eloi | |
dc.authorsophos | Guillán Fresco, María | |
dc.authorsophos | García Iglesias, Adrian | |
dc.authorsophos | Mandía Mancebo, Fermin Julián | |
dc.authorsophos | Fernández Pose, Sabela | |
dc.identifier.doi | 10.7150/jbji.34072 | |
dc.identifier.pmid | 31555500 | |
dc.identifier.sophos | 30817 | |
dc.issue.number | 4 | |
dc.journal.title | JOURNAL OF BONE AND JOINT INFECTION | |
dc.organization | Servizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de Santiago de Compostela - Complexo Hospitalario Universitario de Santiago de Compostela::Traumatoloxía | |
dc.organization | Servizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS) | |
dc.page.initial | 155 | es |
dc.page.final | 162 | es |
dc.rights.accessRights | openAccess | |
dc.subject.keyword | CHUS | |
dc.subject.keyword | IDIS | |
dc.typefides | Artículo Científico (incluye Original, Original breve, Revisión Sistemática y Meta-análisis) | |
dc.typesophos | Artículo Original | |
dc.volume.number | 4 |