RESUMEN
Successful management of intramedullary long bone osteomyelitis remains a challenge for both surgeons and patients. Patients are often immune compromised and have endured multiple surgeries. Treatment principles include antibiotic administration (systemically ± locally), surgical debridement of the infection site, and stabilization. Since their description in 2002, antibiotic-coated nails have become part of the armamentarium for the treatment of osteomyelitis allowing both local elution of antibiotics and stabilization of a debrided long bone. Limitations to their utilization have remained, in part from the technical difficulty of fabrication and magnetic resonance imaging artifacts. We describe a new surgical technique of fabrication that has the advantages of being simple, reproducible, with an end product free of magnetic resonance imaging artifacts.
Asunto(s)
Antibacterianos/administración & dosificación , Profilaxis Antibiótica/métodos , Cementos para Huesos/uso terapéutico , Clavos Ortopédicos , Implantes de Medicamentos/administración & dosificación , Osteomielitis/terapia , Carbono/química , Fibra de Carbono , Materiales Biocompatibles Revestidos/administración & dosificación , Terapia Combinada/instrumentación , Terapia Combinada/métodos , Desbridamiento/instrumentación , Desbridamiento/métodos , Análisis de Falla de Equipo , Medicina Basada en la Evidencia , Humanos , Diseño de Prótesis , Resultado del TratamientoRESUMEN
Successful management of intramedullary long bone osteomyelitis remains a challenge for both surgeons and patients. Patients are often immune-compromised and have endured multiple surgeries. Treatment principles include antibiotic administration (systemically +/- locally), surgical debridement of the infection site and stabilization. Since their description in 2002, antibiotic coated nails have become part of the armamentarium for the treatment of osteomyelitis allowing both local elution of antibiotics and stabilization of a debrided long bone. Limitations to their utilization have remained, in part from the technical difficulty of fabrication and MRI artifacts. We describe a new surgical technique of fabrication that has the advantages of being simple, reproducible, with an end product free of MRI artifacts.