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13-Year-Old Exposed Interlocking Nail: A Case Report

Chua, Y.C.J., and Lim, L.A,, and Hudzairy, A,, (2009) 13-Year-Old Exposed Interlocking Nail: A Case Report. Malaysian Orthopaedic Journal , 3 (1). pp. 91-94. ISSN 1985 2533

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Official URL: http://www.morthoj.org/2009v3n1/Exposed_Interlocking_Nail.pdf

Affiliations

Batu Pahat Hospital, Malaysia. Dept of Orthopaedics
Batu Pahat Hospital, Malaysia. Dept of Orthopaedics
Batu Pahat Hospital, Malaysia. Dept of Orthopaedics

Abstract

We are reporting a case of post-traumatic chronic
osteomyelitis of the tibia with an open wound exposing an
intra medullar nail implant for 13 years. The patient
presented with fresh ipsilateral tibia plateau fracture. He was treated by removal of the implant, debridement and local
placement of Gentamicin-impregnated PMMA beads according to guidelines of the two-stage Belfast technique. After five months of wound treatment, the exposed bone was covered by healthy granulation tissue and the patient was able to fully bear weight.

Item Type:Journal
Keywords:Post-traumatic osteomyelitis, Chronic osteomyelitis, Interlocking nail
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:7890

Lazzarini L, Mader JT, Calhoun JH. Osteomyelitis in long bones. J Bone Joint Surg 2004; 86-A(10): 2305-18.

2 Harth A, Moerman J, De Groote W, Vandekerckhove B, Verbeke R, Verdonk R et al. Treatment of tibial shaft fractures by interlocking nailing. Acta Orthop Belg 1993; 59(4): 381-9.

3 McNally MA, Small JO, Tofighi HG, Mollan RA. Two-stage management of chronic osteomyelitis of the long bones. The Belfast technique. J Bone Joint Surg 1993; 75-B(3): 375-80.

4 Hashmi MA, Norman P, Saleh M. The management of chronic osteomyelitis using the Lautenbach method. J Bone Joint Surg

2004; 86-B(2): 269-75.

5 Brooun A, Liu S, Lewis K. A dose-response study of antibiotic resistance in Pseudomonas aeruginosa biofilms. Antimicrob Agents Chemother 2000; 44(3): 640-694.

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