Novel technique for medullary canal débridement in tibia and femur osteomyelitis

Clinical Orthopaedics and Related Research

Volumn 461, Issue , 2007, Pages 31-34

  Zalavras, Charalampos G ^a   Singh, Anshuman ^a   Patzakis, Michael J ^a  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; CEFEPIME LEVOFLOXACIN; DAPTOMYCIN; IMIPENEM DAPTOMYCIN; LINEZOLID; OXACILLIN; UNCLASSIFIED DRUG; VANCOMYCIN;

ADULT; ANTIBIOTIC THERAPY; BACTERIAL STRAIN; BONE MARROW; CLINICAL ARTICLE; COAGULASE NEGATIVE STAPHYLOCOCCUS; CONFERENCE PAPER; DEBRIDEMENT; FEMALE; FEMUR; FOLLOW UP; FRACTURE EXTERNAL FIXATION; HUMAN; IMPLANTATION; INTRAMEDULLARY NAIL; LAVAGE; MALE; OSTEOMYELITIS; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; PROSTHESIS INFECTION; PSEUDOMONAS AERUGINOSA; STREPTOCOCCUS PYOGENES; TIBIA; ARTICLE; FEMUR FRACTURE; INSTRUMENTATION; METHODOLOGY; MICROBIOLOGY; MIDDLE AGED; OPEN FRACTURE; TIBIA FRACTURE;

ADULT; DEBRIDEMENT; FEMALE; FEMORAL FRACTURES; FEMUR; FRACTURES, OPEN; HUMANS; MALE; MIDDLE AGED; OSTEOMYELITIS; TIBIA; TIBIAL FRACTURES;

EID: 34548349354     PISSN: 0009921X     EISSN: 15281132     Source Type: Journal    
DOI: 10.1097/BLO.0b013e318098673f     Document Type: Conference Paper

References (20)

1. Cierny G, Mader JT, Pennick H. A clinical staging system for adult osteomyelitis. Clin Orthop Relat Res. 2003;414:7-24.
2. Giannoudis PV, Pape HC, Cohen AP, Krettek C, Smith RM. Review: systemic effects of femoral nailing: from Kuntscher to the immune reactivity era. Clin Orthop Relat Res. 2002;404:378-386.
3. Giannoudis PV, Snowden S, Matthews SJ, Smye SW, Smith RM. Friction burns within the tibia during reaming. Are they affected by the use of a tourniquet? J Bone Joint Surg Br. 2002;84:492-496.
4. Giannoudis PV, Snowden S, Matthews SJ, Smye SW, Smith RM. Temperature rise during reamed tibial nailing. Clin Orthop Relat Res. 2002;395:255-261.
5. Gualdrini G, Barchetti M, Trono M, Palumbi P. Intramedullary reaming in the treatment of chronic osteomyelitis of the femur and tibia. Chir Organi Mov. 2000;85:257-263.
6. Harwood PJ, Giannoudis PV, van Griensven M, Krettek C, Pape HC. Alterations in the systemic inflammatory response after early total care and damage control procedures for femoral shaft fracture in severely injured patients. J Trauma. 2005;58:446-452. discussion 452-454.
7. Heitmann C, Patzakis MJ, Tetsworth KD, Levin LS. Musculoskeletal sepsis: principles of treatment. Instr Course Lect. 2003;52:733-743.
8. Kropfl A, Berger U, Neureiter H, Hertz H, Schlag G. Intramedullary pressure and bone marrow fat intravasation in unreamed femoral nailing. J Trauma. 1997;42:946-954.
9. Kropfl A, Davies J, Berger U, Hertz H, Schlag G. Intramedullary pressure and bone marrow fat extravasation in reamed and unreamed femoral nailing. J Orthop Res. 1999;17:261-268.
10. Lidgren L, Torholm C. Intramedullary reaming in chronic diaphyseal osteomyelitis: a preliminary report. Clin Orthop Relat Res. 1980;151:215-221.
11. Muller C, McIff T, Rahn BA, Pfister U, Weller S. Intramedullary pressure, strain on the diaphysis and increase in cortical temperature when reaming the femoral medullary cavity - a comparison of blunt and sharp reamers. Injury. 1993;24(suppl 3):S22-S30.
12. Muller C, Rahn BA, Pfister U, Weller S. Extent of bluntness and damage to reamers from hospitals. Injury. 1993;24(suppl 3):S31-S35.
13. Ochsner PE, Brunazzi MG. Intramedullary reaming and soft tissue procedures in treatment of chronic osteomyelitis of long bones. Orthopedics. 1994;17:433-440.
14. Ochsner PE, Gosele A, Buess P. The value of intramedullary reaming in the treatment of chronic osteomyelitis of long bones. Arch Orthop Trauma Surg. 1990;109:341-347.
15. Pape HC, Grimme K, Van Griensven M, Sott AH, Giannoudis P, Morley J, Roise O, Ellingsen E, Hildebrand F, Wiese B, Krettek C; EPOFF Study Group. Impact of intramedullary instrumentation versus damage control for femoral fractures on immunoinflammatory parameters: prospective randomized analysis by the EPOFF Study Group. J Trauma. 2003;55:7-13.
16. Pape HC, Zelle BA, Hildebrand F, Giannoudis PV, Krettek C, van Griensven M. Reamed femoral nailing in sheep: does irrigation and aspiration of intramedullary contents alter the systemic response? J Bone Joint Surg Am. 2005;87:2515-2522.
17. Pape HC, Zwipp H, Regel G, Hoffmann M, Maschek H, Tscherne H. Chronic treatment refractory osteomyelitis of long tubular bones - possibilities and risks of intramedullary boring. [in German]. Unfallchirurg. 1995;98:139-144.
18. Patzakis MJ, Wilkins J, Wiss DA. Infection following intramedullary nailing of long bones. Diagnosis and management. Clin Orthop Relat Res. 1986;212:182-191.
19. Patzakis MJ, Zalavras CG. Chronic posttraumatic osteomyelitis and infected nonunion of the tibia: current management concepts. J Am Acad Orthop Surg. 2005;13:417-427.
20. Wenda K, Runkel M, Degreif J, Ritter G. Pathogenesis and clinical relevance of bone marrow embolism in medullary nailing - demonstrated by intraoperative echocardiography. Injury. 1993;24(suppl 3):S73-S81.