K. Klemm  Clinical Microbiology and Infection 

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Presentation transcript:

The use of antibiotic-containing bead chains in the treatment of chronic bone infections  K. Klemm  Clinical Microbiology and Infection  Volume 7, Issue 1, Pages 28-31 (January 2001) DOI: 10.1046/j.1469-0691.2001.00186.x Copyright © 2001 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 1 Sequestration of infected devital bone fragments is the main feature in chronic osteomyelitis; radical surgery with removal of such sequestrum should proceed any antibiotic treatment – whether systemically or locally applied. Clinical Microbiology and Infection 2001 7, 28-31DOI: (10.1046/j.1469-0691.2001.00186.x) Copyright © 2001 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 2 Release of gentamicin from gentamicin PMMA beads in vitro. Clinical Microbiology and Infection 2001 7, 28-31DOI: (10.1046/j.1469-0691.2001.00186.x) Copyright © 2001 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 3 Gentamicin PMMA chain and minichain for local antibiotic therapy by implantation in infected bone cavities, depending on the size of the defect. Clinical Microbiology and Infection 2001 7, 28-31DOI: (10.1046/j.1469-0691.2001.00186.x) Copyright © 2001 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 4 By implantation of a gentamicin PMMA chain into an infected bone cavity after sequestrectomy, local antibiotic therapy can be administered at local concentrations of gentamicin far above the MICs for most common pathogens in chronic osteomyelitis. Clinical Microbiology and Infection 2001 7, 28-31DOI: (10.1046/j.1469-0691.2001.00186.x) Copyright © 2001 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 5 Sequestrating osteomyelitis after plate osteosynthesis of a fracture in the subtrochanteric region; temporary implantation of a gentamicin PMMA chain following sequestrectomy. Clinical Microbiology and Infection 2001 7, 28-31DOI: (10.1046/j.1469-0691.2001.00186.x) Copyright © 2001 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 6 Temporary implantation of a gentamicin PMMA chain in the medullary canal of the tibia after removal of an infected interlocking nail. Clinical Microbiology and Infection 2001 7, 28-31DOI: (10.1046/j.1469-0691.2001.00186.x) Copyright © 2001 European Society of Clinical Infectious Diseases Terms and Conditions