Do Antibiotic Beads Need to be Removed? | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 4، دوره 8، شماره 4، مهر 2020، صفحه 502-505 اصل مقاله (385.31 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2020.44143.2208 | ||
| نویسندگان | ||
| Navin Fernando1؛ Shawn Werner2؛ Moamen Elhaddad3؛ Jonah Davies3؛ Reza Firoozabadi* 3 | ||
| 1Hip and Knee Center at Northwest Primary and Specialty Care North Seattle, University of Washington, Seattle, WA, USA | ||
| 2Aurora Medical Center Summit Oconomowoc, WI, USA | ||
| 3Department of Orthopedic Surgery, Harborview Medical Center, University of Washington, Seattle, WA, USA | ||
| چکیده | ||
| Background: Polymethylmethacrylate antibiotic impregnated beads can be an effective treatment for chronic osteomyelitis or an adjuvant in the treatment of open fractures. It remains unclear however whether the beads cause long-term adverse events if not removed. The purpose of this study was to determine if removal of antibiotic beads was required in order to avoid long term complications. Methods: A retrospective chart review was conducted on patients with an extremity or pelvis fracture that had implantation of polymethylmethacrylate (PMMA) antibiotic beads over a five-year period. Results: Fifty-one patients met inclusion criteria for this study; thirty-seven patients (73%) did not have complications after surgical debridement and placement of PMMA antibiotic beads necessitating removal. Conclusion: Our findings suggest that polymethylmethacrylate antibiotic beads can be utilized as a means of delivering high-dose concentrations of local antibiotics and do not have to be removed in all patients. Level of evidence: III | ||
| کلیدواژهها | ||
| Antibiotics؛ Antibiotic beads؛ Antibiotic resistance؛ Fracture؛ Infection | ||
| مراجع | ||
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