BACKGROUND The treatment of an infected intramedullary nail is a challenging and serious complication. Normally, treatment involves the removal of metalwork, followed by washout and debridement of the infected bone. This can leave the bone and any fracture unsupported. We promote using a threaded Ilizarov rod encased with antibiotic impregnated Palacos® cement (Heraeus, Wehrheim, Germany) to ac...

Cases of limb salvage following skeletal trauma involving significant bone loss pose a particular challenge to the reconstructive surgeon. Certain techniques for addressing this complex issue have been advanced in recent years and have met with considerable success. The Masquelet technique involves a staged procedure in which a temporary skeletal stabilization is paired with implantation of an ...

The use of antibiotic-impregnated cement in revision of total hip arthroplasty procedures is widespread, and a substantial body of evidence demonstrates its efficacy in infection prevention and treatment. However, it is not clear that it is necessary or desirable as a routine means of prophylaxis in primary total joint arthroplasty. In the management of infected implant sites, antibiotic-impreg...

The complete seating of full coronal restorations during cementation is hindered by the inability of cement to flow from the internal surface of the crown, and possible binding of the crown on the tooth. Perforation venting is an effective technique to allow full seating but requires repair of the perforation. Provision of space between the crown and the tooth for cement flow is also an effecti...

BACKGROUND AND PURPOSE Antibiotic-impregnated cement is used as a spacer or during re-implantation surgery for the treatment of infected total hip arthroplasties. The routine use of antibiotic-impregnated cement during primary or uninfected revision total hip arthroplasty remains controversial. With this meta-analysis of the published literature, we intended to assess efficacy and safety in the...

The aim of this study was to evaluate the treatment of isolated septic acetabular cup loosening without involvement of the prosthesis stem by insertion of an antibiotic-loaded spacer head and stem retention. Between 1999 and 2008, 13 patients (5 men, 8 women, mean age 69 years) were treated according to this regimen. S. epidermidis and S. aureus were the two most commonly identified pathogens. ...

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BACKGROUND two-stage revision is considered the best treatment approach for the eradication of chronic joint infection. We report the outcome of 41 consecutive patients with infected hip prostheses, treated between 2000 and 2005, with two-stage revision using an antibiotic-loaded cement spacer. METHODS Patients underwent a treatment protocol which included clinical and radiographic evaluation...

The use of temporary hip prosthesis made orthopedic cement (spacer) in conjunction with antibiotics became a widespread method used for treating prosthetic infections despite the fact that this makes bone (PMMA) more fragile. necessity to incorporate reinforcement is therefore crucial strengthen cement. In study, validated Finite Element Modelling (FEM) was analyze behavior spacers. This FEM mo...