Journal of orthopaedic trauma · 2022
Removal of Antibiotic Cement-Coated Interlocking Nails.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Abalkhail Talal B, Elhessy Ahmed H, Conway Janet D
Аннотация
OBJECTIVES: To report the outcomes of antibiotic cement-coated interlocking nail (ACCIN) removal, detail a removal technique that mitigates debonding of coating, and describe how to address occurrences intraoperatively.
DESIGN: Retrospective case series.
SETTING: Level II trauma center.
PATIENTS: Twenty-eight patients who underwent ACCIN removal between January 2014 and August 2019.
INTERVENTION: Removal of ACCINs that were coated using the silicone tubing method.
MAIN OUTCOME MEASUREMENTS: Successful removal of the nail with intact antibiotic coating.
RESULTS: A total of 42 ACCIN removals were included in this study. Successful ACCIN removal was achieved in 37 cases (88.1%), with debonding in only 5 cases (11.9%). Eight nails (19%) required 1 additional removal procedure, and 3 nails (7.1%) required 2 additional removal procedures. The main reasons for the additional procedures were nonunion and persistent infection.
CONCLUSIONS: ACCIN insertion and removal can be challenging. The proper technique of coating and insertion can facilitate later removal. Removal of knee-long fusion rods can be more challenging.
LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
DESIGN: Retrospective case series.
SETTING: Level II trauma center.
PATIENTS: Twenty-eight patients who underwent ACCIN removal between January 2014 and August 2019.
INTERVENTION: Removal of ACCINs that were coated using the silicone tubing method.
MAIN OUTCOME MEASUREMENTS: Successful removal of the nail with intact antibiotic coating.
RESULTS: A total of 42 ACCIN removals were included in this study. Successful ACCIN removal was achieved in 37 cases (88.1%), with debonding in only 5 cases (11.9%). Eight nails (19%) required 1 additional removal procedure, and 3 nails (7.1%) required 2 additional removal procedures. The main reasons for the additional procedures were nonunion and persistent infection.
CONCLUSIONS: ACCIN insertion and removal can be challenging. The proper technique of coating and insertion can facilitate later removal. Removal of knee-long fusion rods can be more challenging.
LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.