Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Infections
Abstract number: 25648
USE OF AN ANTIBIOTIC COATED NAIL IN TREATMENT OF INFECTED
NONUNIONS OF FRACTURE SHAFT OF FEMUR: PRELIMINARY RESULTS IN
TEN CASES
Vijay KUMAR, AR NATARAJ, Bhavuk GARG, Rajesh MALHOTRA
All India Institute of Medical Sciences, New Delhi (INDIA)
Chronic infection of bone with nonunion is traditionally treated by a 2-stage
procedure involving initial debridement and antibiotic delivery and then definitive
internal fixation. Alternatively, external fixators are used to provide stability. A
technique with which single stage antibiotic cement-coated intramedullary nails are
prepared in the operating room with the use of Kuntscher Nails and materials that
generally are available is described herein. Although useful for all infected nonunions
this technique is particularly useful for patients who are not ideal candidates for
external fixation and for those who do not want to have an external fixator applied.
We evaluated 10 cases treated with antibiotic cement-coated K nail with application
of an additional unicortical plate in 7 cases. Autologous iliac crest bone grafting was
done in all cases and additional bone substitutes used in 2 cases. 9 patients had
stable union with complete control of infection. One patient had persistent infection at
the time of last follow
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