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dc.contributor.authorJORGE MORA, ALBERTO AGUSTIN 
dc.contributor.authorAMHAZ ESCANLAR, SAMER 
dc.contributor.authorFernández Pose, Sabela
dc.contributor.authorGarcía Iglesias, Adrian
dc.contributor.authorMandía Mancebo, Fermin Julián
dc.contributor.authorFRANCO TREPAT, ELOI 
dc.contributor.authorGuillán Fresco, María
dc.contributor.authorPino Mínguez, Jesús 
dc.date.accessioned2021-10-13T10:48:10Z
dc.date.available2021-10-13T10:48:10Z
dc.date.issued2019
dc.identifier.issn2206-3552
dc.identifier.otherhttps://www.ncbi.nlm.nih.gov/pubmed/31555500
dc.identifier.otherhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6757014/pdf/jbjiv04p0155.pdf
dc.identifier.urihttp://hdl.handle.net/20.500.11940/15484
dc.description.abstractIntroduction: 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.rightsAtribución 4.0 Internacional
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.titleCommercially available antibiotic-laden PMMA-covered locking nails for the treatment of fracture-related infections - A retrospective case analysis of 10 cases
dc.typeArtigoes
dc.authorsophosPino Mínguez, Jesús
dc.authorsophosJorge Mora, Alberto Agustin
dc.authorsophosAmhaz Escanlar, Samer
dc.authorsophosFranco Trepat, Eloi
dc.authorsophosGuillán Fresco, María
dc.authorsophosGarcía Iglesias, Adrian
dc.authorsophosMandía Mancebo, Fermin Julián
dc.authorsophosFernández Pose, Sabela
dc.identifier.doi10.7150/jbji.34072
dc.identifier.pmid31555500
dc.identifier.sophos30817
dc.issue.number4
dc.journal.titleJOURNAL OF BONE AND JOINT INFECTION
dc.organizationServizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de Santiago de Compostela - Complexo Hospitalario Universitario de Santiago de Compostela::Traumatoloxía
dc.organizationServizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS)
dc.page.initial155es
dc.page.final162es
dc.rights.accessRightsopenAccess
dc.subject.keywordCHUS
dc.subject.keywordIDIS
dc.typefidesArtículo Científico (incluye Original, Original breve, Revisión Sistemática y Meta-análisis)
dc.typesophosArtículo Original
dc.volume.number4


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