Abstract | INTRODUCTION: PURPOSE OF THE WORK: MATERIAL AND METHODS: In the years 2001-2006 in Clinic of Traumatology and Hand Surgery in Wrocław Medical University, 16 patients were treated because of osteomyelitis and infected nonunion of the long bone. Osteomeylitis, according to the Cierny-Mader's classification, was determined as type IVA in 8 patients, as type IIIA in 4 patients, as type IVB in 4 patients. In stage I surgical cleaning focus of the infected nonunion, external stabilization and implantation of PMMA with gentamycyni were performed, in stage II bone graft with length from 2 to 5 cm was applied. RESULTS: Eradication of the inflammatory process was achieved 13 patients, bone union-in 12 patients. The mean time of bone union achievement was 9 months. The failures concerned mainly patients with type IVB of osteomyelitis according to Cierny-Mader's classification. CONCLUSIONS: Application of PMMA with gentamycini is an efficient method in the treatment of traumatic osteomyelitis. The reults of osteomyelitis treatment correspond to the osteomyelitis classification according to Cierny-Mader. Application of PMMA with gentamycyni in connection with surgery of nonunion prevents possible infection and creates the space for bone grafts.
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Authors | Paweł Reichert, Roman Rutowski, Krzysztof Zimmer, Jerzy Gosk |
Journal | Polimery w medycynie
(Polim Med)
Vol. 37
Issue 4
Pg. 65-72
( 2007)
ISSN: 0370-0747 [Print] Poland |
Vernacular Title | Wykorzystanie implantów z polimetylmetakrylanu (PMMA) jako nośnika gentamycyny (Septopal) w leczeniu zakazonych stawów rzekomych. Badania własne. |
PMID | 18572879
(Publication Type: English Abstract, Journal Article)
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Chemical References |
- Anti-Infective Agents
- Bone Cements
- Gentamicins
- Methylmethacrylates
- gentamicin-polymethylmethacrylate bead
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Topics |
- Adolescent
- Adult
- Anti-Infective Agents
(administration & dosage)
- Bone Cements
(pharmacology)
- Female
- Fractures, Ununited
(drug therapy)
- Gentamicins
(administration & dosage)
- Humans
- Male
- Methylmethacrylates
(administration & dosage)
- Middle Aged
- Osteomyelitis
(drug therapy)
- Pseudarthrosis
(drug therapy, microbiology)
- Treatment Outcome
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