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Management of Chronic Osteomyelitis of Shaft of Long Bones with Antibiotic Impregnated Cement Coated Intramedullary Nailing: A Prospective Analysis

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Original Article | Journal of Clinical Orthopaedics | Vol 10 | Issue 2 | July-December 2025 | page: 111-115 | V Sriram, L Sachin Patel, K K Nrupatunga

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.794

Open Access License: CC BY-NC 4.0
Copyright Statement: Copyright © 2025; The Author(s).

Submitted Date: 01 Aug 2025, Review Date: 21 Sep 2025, Accepted Date: 14 Oct 2025 & Published Date: 10 Dec 2025

Author: V Sriram [1], L Sachin Patel [2], K K Nrupatunga [3]

[1] Department of Orthopaedics, East Point College of Medical Sciences, Bengaluru, Karnataka, India.
[2] Department of Orthopaedics, PES University Institute of Medical Sciences and Research, Bengaluru, Karnataka, India.
[3] Department of Orthopaedics, BGS Medical College Hospital, Bengaluru, Karnataka, India.

Address of Correspondence
Dr. L Sachin Patel,
Department of Orthopaedics, PES University Institute of Medical Sciences and Research, Bengaluru, Karnataka, India.
E-mail: spatel.bl@gmail.com

Abstract

Background/Aim: The aim of this study was to study the outcome of antibiotic impregnated cement coated intramedullay nailing in the management of chronic osteomyelitis of shaft of long bones.
Materials and Methods: In this prospective study, 17 patients admitted in our hospital who were diagnosed with chronic osteomyelitis of long bones and culture-positive infected fractures of long bones were considered in the study and they were evaluated for a period of 12 months.
Results: Bony union was achieved at around 5 months (20 weeks) on average, and duration for control of infection in case of chronic osteomyelitis was around 4 months, complications such as persistent infection and non-union were around 18 % overall.
Conclusion: The main advantage of the antibiotic nail is that both the union and the infection can be addressed at the same surgery. Single-staged antibiotic nailing technique provides good results, lessens the duration of hospital stay, and reduces the morbidity in infected nonunion of long bones with <2 cm defect.
Keywords: Antibiotic impregnated cement-coated intramedullay nailing, Chronic osteomyelitis, Infected non-union, Infection.

References

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How to Cite this Article: Sriram V, Patel SL, Nrupatunga KK. Management of Chronic Osteomyelitis of Shaft of Long Bones with Antibiotic Impregnated Cement Coated Intramedullary Nailing: A Prospective Analysis. Journal of Clinical Orthopaedics. July-December 2025;10(2):111-115.

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Management of Infected Non – Unions

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Vol 2 | Issue 2 |  July – Dec 2017 | Page 25-31 | John Mukhopadhaya

Authors: John Mukhopadhaya [1]

[1]Department of Orthopaedics and Joint Replacement, Paras HMRI Hospital, Patna, Bihar, India.

Address of Correspondence
Dr. John Mukhopadhaya
Department of Orthopaedics and Joint Replacement,
Paras HMRI Hospital, Patna, Bihar, India.
Email: mukhoj@gmail.com

Abstract

Infected nonunions are difficult problems to tackle. The treatment is often multistaged and involves high expenses and has major impact on both patient as well as surgeons. Understanding of the basics of infected non-union including etiopathology, diagnostic criteria and management algorithms is helpful in successfully managing this complication. This article provides a basic overview of infected nonunions along with new methods of management including Masquelet technique and techniques of managing bone gaps
Keywords: infected non-union, diagnosis, management

References

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How to Cite this article:  Mukhopadhaya J. Management of Infected Non-unions. Journal of Clinical Orthopaedics July-Dec 2017; 2(2):25-31

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