Antibiotic-impregnated cement spacer for bone defects of the forearm and hand

Management of bone loss, particularly in the face of open or contaminated wounds, presents a reconstructive challenge. Polymethylmethacrylate impregnated with antibiotics has been used successfully in the treatment of infected total joint arthroplasty and open fractures. The cement delivers high-dos...

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Bibliographic Details
Published inTechniques in hand & upper extremity surgery Vol. 11; no. 2; p. 163
Main Authors DeSilva, Gregory L, Fritzler, Anthony, DeSilva, Stephen P
Format Journal Article
LanguageEnglish
Published United States 01.06.2007
Subjects
Adult
Anti-Bacterial Agents - administration & dosage
Bone and Bones - pathology
Bone and Bones - surgery
Bone Cements
Forearm
Forearm Injuries - surgery
Hand
Humans
Male
Postoperative Complications
Wound Infection - surgery
Wounds, Gunshot - surgery
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Summary:Management of bone loss, particularly in the face of open or contaminated wounds, presents a reconstructive challenge. Polymethylmethacrylate impregnated with antibiotics has been used successfully in the treatment of infected total joint arthroplasty and open fractures. The cement delivers high-dose local concentrations of antibiotics while filling a space. This article presents our use of an antibiotic-impregnated cement spacer for bone loss in the forearm or hand in the face of open or infected wounds. The cement spacer fills a potential space, prevents the involution of the surrounding soft tissue, and delivers appropriate antibiotics. When the spacer is removed, the remaining sheath serves to hold and contain the cancellous bone graft.
ISSN:1089-3393
DOI:10.1097/BTH.0b013e3180413e56