Fixation of Infected Nonunion of Femur by a Kuntscher Nail Stuffed with Antibiotic Laden Bone Cement: A Case Report.
- Author:
In Ju LEE
;
Young Mok KANG
;
Hyun Mo YOON
- Publication Type:Case Report
- Keywords:
Femur;
Infected nonunion;
Kuntscher nail;
Antibiotic laden bone cement
- MeSH:
Debridement;
Femoral Fractures;
Femur*;
Fracture Fixation;
Humans;
Traction;
Vancomycin;
Wounds and Injuries;
Young Adult
- From:The Journal of the Korean Orthopaedic Association
1998;33(5):1432-1436
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A case of established infected nonunion of femur after open reduction and internal fixation of proximal femoral fracture with plate and screws in a 20-year-old man has been satisfactorily treated with a conventional Kiintscher nail filled with antibiotic laden bone cement in its hollow cavity. Though the removal of plate and screws, wound debridement, insertion of antibiotic laden bone cement bead at the nonunion site with temporary external skeletal fixation and skeletal traction preceded, a rigid fixation by the nail and vancomycin elution from the cement are believed to have contributed for bony union without troublesome complication of infection in this case.
