Koury Kenneth L, Hwang John S, Sirkin Michael
Department of Orthopaedics, Complex Fractures, Nonunions and Osteomyelitis, University Physician Associates, North Jersey Orthopaedic Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, 140 Bergen Street, Suite D1610, Newark, NJ 07103, USA.
Department of Orthopaedics, Complex Fractures, Nonunions and Osteomyelitis, University Physician Associates, North Jersey Orthopaedic Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, 140 Bergen Street, Suite D1610, Newark, NJ 07103, USA.
Orthop Clin North Am. 2017 Apr;48(2):155-165. doi: 10.1016/j.ocl.2016.12.006.
Antibiotic cement nails provide a useful and relatively simple technique to treat intramedullary osteomyelitis of the long bones. These devices provide stability as well as local, targeted antibiotics, which are both critical aspects of osteomyelitis management. Additionally, the use of a threaded core is a critical component of successful cement nail assembly. With adherence to the simple principles outlined in this review, surgeons can expect reliably good results using these drug-delivery implants.
抗生素骨水泥钉为治疗长骨骨髓炎提供了一种有用且相对简单的技术。这些装置可提供稳定性以及局部、靶向性抗生素,这两者都是骨髓炎治疗的关键方面。此外,使用带螺纹的髓内钉是成功组装骨水泥钉的关键组成部分。遵循本综述中概述的简单原则,外科医生使用这些药物递送植入物有望获得可靠的良好效果。