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Permanent antibiotic impregnated intramedullary nail in diabetic limb salvage: a case report and literature review

Author(s): Jason B. Woods | Nicholas J. Lowery | Patrick R. Burns

Journal: Diabetic Foot & Ankle
ISSN 2000-625X

Volume: 3;
Start page: 1;
Date: 2012;
Original page

Keywords: Charcot neuroarthropathy | infection | amputation | intramedullary nail | diabetic neuropathy | diabetic limb salvage

Managing complications after attempted hind foot and ankle arthrodesis with intramedullary nail fixation is a challenge. This situation becomes more problematic in the patient with diabetes mellitus and multiple comorbidities. Infection and subsequent osteomyelitis can be a devastating, limb threatening complication associated with these procedures. The surgeon must manage both the infectious process and the skeletal instability concurrently. This article provides a literature review and detailed management strategies for a modified technique of employing antibiotic impregnated polymethylmethacrylate-coated intramedullary nailing.

Tango Rapperswil
Tango Rapperswil

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