Academic Journals Database
Disseminating quality controlled scientific knowledge

Treatment of Infected Tibial Nonunion with Tobramycin- Impregnated Calcium Sulfate: Report of Two Cases.

ADD TO MY LIST
 
Author(s): Yao-Hung Tsai | Tsung-Jen, Huang | Hsin-Nung Shih | Robert Wen-Wei Hsu

Journal: Chang Gung Medical Journal
ISSN 2072-0939

Volume: 27;
Issue: 07;
Start page: 542;
Date: 2004;
VIEW PDF   PDF DOWNLOAD PDF   Download PDF Original page

Keywords: osteomyelitis | osteoset | tibia.

ABSTRACT
The treatment of infected tibial nonunion usually includes a staged reconstruction protocol.We present 2 patients with tibial nonunion and plate loosening with oxacillin-resistantStaphylococcus aureus infection. The patients were treated using the removal of the plate,radical debridement, and implantation of gentamycin-impregnated cement beads during thefirst stage. During the second stage, plate fixation was performed and tobramycin-impregnatedcalcium sulfate (Osteoset T®) was used as a bone graft substitute. Neither an autogenousbone graft nor an allograft was used. At 3 years of follow-up, each tibia showed goodunion, and there was no recurrence of infection. We consider tobramycin-impregnated calciumsulfate to be an alternative method of bone grafting to treat infected tibial nonunion.
Save time & money - Smart Internet Solutions     

Tango Jona
Tangokurs Rapperswil-Jona