Rupp, Markus and Walter, Nike and Ismat, Abdullah and Alt, Volker (2021) Polymethyl methacrylate cement coating of intramedullary implants A new technique for revision surgery with the example of a temporary knee arthrodesis. Video article. ORTHOPADE, 50 (9). pp. 758-762. ISSN 0085-4530, 1433-0431
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Background The coating of intramedullary rods with polymethyl methacrylate (PMMA) bone cement containing antibiotics ensures a high concentration of antibiotics locally and stability in fractures that are not yet consolidated. However, bone cement can detach when the implant is removed and remain in the medullary cavity of the long bones. Case report After a periprosthetic knee infection, a 56-year-old patient suffered from a painful reinfection of Staphylococcus epidermidis. This was an indication for removal of the prosthesis. Operation After soft-tissue debridement and synovectomy, rotating hinge prosthesis that had been inserted was removed. Humeral nails coated with PMMA cement containing antibiotics were used as temporary intramedullary implants. To prevent the bone cement from detaching when the implant was removed and cement residue from remaining in the bone, the humeral nails were reinforced with cerclage wire. The coated implant was then press fit into the medullary cavity.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | INFECTION; Antibiotics; Internal fixators; Polymethyl methacrylate; Reinfection; Staphylococcus epidermidis |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 23 Aug 2022 12:50 |
| Last Modified: | 23 Aug 2022 12:50 |
| URI: | https://pred.uni-regensburg.de/id/eprint/46351 |
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