Garabano Germán, Viollaz Gonzalo M, Pesciallo Cesar Angel
Orthopaedic and Trauma Surgery Department, British Hospital of Buenos Aires, Argentina.
Orthopaedic and Trauma Surgery; and Ortho-Plastic Department, British Hospital of Buenos Aires, Argentina.
Arch Bone Jt Surg. 2024;12(9):665-668. doi: 10.22038/ABJS.2024.72941.3383.
Infected segmental bone defects (ISBD) of the femur and tibia pose a significant challenge. Traditionally, bone fixation in the first stage of the Masquelet technique involves external fixation, but intramedullary nail fixation has recently gained popularity. Despite this, little attention has been focused on the elaboration, implantation, and removal of the spacer around the nail. In this technical note, we present gentamicin cement-coated rigid nails as definitive fixation in the first stage. We also detail the technique for placing and removing the one-piece dyed antibiotic spacer around the nail. We highlight its potential benefits in one of the critical steps of this versatile technique.
股骨和胫骨的感染性节段性骨缺损（ISBD）是一项重大挑战。传统上，Masquelet技术第一阶段的骨固定采用外固定，但髓内钉固定近来颇受青睐。尽管如此，围绕髓内钉的间隔物的制作、植入和取出却很少受到关注。在本技术说明中，我们介绍了庆大霉素骨水泥涂层刚性髓内钉作为第一阶段的确定性固定方法。我们还详细阐述了在髓内钉周围放置和取出一体式染色抗生素间隔物的技术。我们强调了其在这项通用技术的关键步骤之一中的潜在优势。
