| Literature DB >> 31879500 |
Efstathios Drampalos1, Hasan Raza Mohammad1, Anand Pillai1.
Abstract
We report outcomes from 52 patients with chronic osteomyelitis from implant infection treated with a single stage protocol including debridement augmented with application of CERAMENT™/G biocomposite after resection of Cierny-Mader (C-M) stage III and IV chronic osteomyelitis. Mean age was 53 years with a mean follow up of 17 months. Infection was eradicated in 48 (92.3%) patients. There were four (7.7%) recurrences. Eighteen patients (35%) had a flap. Staphylococci (51%) and Enterococci (15%) were the commonest microorganisms. Local antibiotic augmentation (CERAMENT™/G biocomposite) with dead space management is effective in the treatment of implant related chronic osteomyelitis. LEVEL OF EVIDENCE: Prognostic Level IV. CrownEntities:
Keywords: Absorbable; Augmented debridement; Gentamycin loaded calcium sulphate/hydroxyapatite biocomposite; Implant related osteomyelitis
Year: 2019 PMID: 31879500 PMCID: PMC6919360 DOI: 10.1016/j.jor.2019.08.017
Source DB: PubMed Journal: J Orthop ISSN: 0972-978X