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Cannulated Schanz Pin: A Novel Concept for Intraosseous Antibiotic Delivery

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 15-17 | Ninad Ashok Godghate, Neha Ninad Godghate, Ashok Shyam, Krishnamohan Ananda Saindane Author: Ninad Ashok Godghate [1], Neha Ninad Godghate [1], Ashok Shyam [2], Krishnamohan Ananda Saindane [3]. [1] Consultant Grace Ortho Clinic Rajiv Nagar T-Point Wardha Road, Nagpur. [2] Sancheti Institute, Pune […]

Skeletal Stabilization In Open Injuries

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 12-14 | Dheenadhayalan J, Raja Bhaskara Rajasekaran, Sivakumar S P, Ramesh Perumal, Arun Kamal C. Author: Dheenadhayalan J [1], Raja Bhaskara Rajasekaran [1], Sivakumar S P [1], Ramesh Perumal [1], Arun Kamal C [1]. [1] Department of Orhtopaedics & Trauma Ganga Medical Centre […]

Cannulated Schanz Pin: A Novel Concept for Intraosseous Antibiotic Delivery

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Skeletal Stabilization In Open Injuries

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Full Sized Blog Element (Big Preview Pic)

Cannulated Schanz Pin: A Novel Concept for Intraosseous Antibiotic Delivery

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 15-17 | Ninad Ashok Godghate, Neha Ninad Godghate, Ashok Shyam, Krishnamohan Ananda Saindane

Author: Ninad Ashok Godghate [1], Neha Ninad Godghate [1], Ashok Shyam [2], Krishnamohan Ananda Saindane [3].

[1] Consultant Grace Ortho Clinic Rajiv Nagar T-Point Wardha Road, Nagpur.
[2] Sancheti Institute, Pune
[3] FICS, Consultant, Suyog Hospital, Sakri road, Dhule.

Address of Correspondence
Dr. Ninad Ashok Godghate,
Consultant Grace Ortho Clinic Rajiv Nagar T-Point Wardha Road, Nagpur.
Email: drninadgodghate@gmail.com

Abstract

Infection control and prevention is the first step in any orthopaedic procedure because its treatment can be challenging and complicated. Complex bony architecture, precarious blood supply and presence of biofilm make eradicating infection a difficult task. Local antibiotic delivery in such cases has proved successful as it provides high concentration of antimicrobial agents and prevents systemic toxicity that is associated with systemic antibiotic administration. Of all the options available at present for local delivery, the most commonly used is antibiotic loaded bone cement. However only heat stable antibiotics can be used with cement and studies show that amount of drug eluted from the cement decreases with time. We have attempted to address these drawbacks and make local administration of antibiotics simpler by a novel method which could be used for treatment of established infections as well as prevention of infection in open fractures. This method could allow use of sensitive and specific antibiotic in addition to providing fracture stability.
Keywords: Infection, intraosseous antibiotic delivery, cannulated schanz pin

References

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How to Cite this article: Godghate N A, Godghate N N, Shyam A, Saindane K A. Cannulated schanz pin: A novel concept for intraosseous antibiotic delivery. Trauma International May- Aug 2018;4(1):15-17.

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Skeletal Stabilization In Open Injuries

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 12-14 | Dheenadhayalan J, Raja Bhaskara Rajasekaran, Sivakumar S P, Ramesh Perumal, Arun Kamal C.

Author: Dheenadhayalan J [1], Raja Bhaskara Rajasekaran [1], Sivakumar S P [1], Ramesh Perumal [1], Arun Kamal C [1].

[1] Department of Orhtopaedics & Trauma Ganga Medical Centre & Hospitals Pvt. Ltd, 313, Mettupalayam road, Coimbatore, India

Address of Correspondence
Dr. Raja Bhaskara Rajasekaran,
Ganga Hospital, Mettupalayam road,Coimbatore, India
Email: rajalibra299@gmail.com

Abstract

Skeletal Stabilization in open injuries is as important as soft tissue cover in providing a good outcome following open injuries. Unilateral external fixator forms the workhorse of open injuries of the lower limb. In fractured ends with good bone circumference, good reduction and fixation leads to primary union. Primary internal fixation was considered unacceptable even about two decades ago in open injuries. However, nowadays following refinement in techniques of debridement, the pendulum has now swung towards early internal fixation whenever indicated. Definitive internal fixation before soft tissue cover has also shown to give good results.Modern multiplanar and circular fixators are used if there is significant contamination, bone loss and multilevel fractures of the tibia.
Keywords: Skeletal stabilization, external fixator, debridement, primary internal fixation

References

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3. Initial Management of Open Fractures. (Book Chapter) S. Rajasekaran et al. Rockwood and Green’s Fractures in Adults. Eigth Edition. Vol1 :353-396.
4. BAPRAS Guidelines: Standards for management of open fractures of the lower limb. 2009.
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6. Lethaby A, Temple J, Santy J. Pin site care for preventing infections associated with external bone fixators and pins. Cochrane Database Syst Reviews. 2008;(4).
7. Schmidt AH, Swiontkowski MF. Pathophysiology of infections after internal fixation of fractures. J Am AcadOrthop Surg. 2000;8:285–291.
8. Clifford RP, Beauchamp CG, Kellam JF, et al. Plate fixation of open fractures of the tibia. J Bone Joint Surg Br. 1988;70:644–648.
9. Giannoudis PV, Furlong AJ, MacDonald DA, et al. Reamed against unreamed nailing of the femoral diaphysis: A retrospective study of healing time. Injury. 1997;28:15–18.
10. Kakar S, Tornetta P 3rd. Open fractures of the tibia treated by immediate intramedullary tibial nail insertion without reaming: A prospective study. J Orthop Trauma. 2007;21:153–157.
11. Bhandari M, Guyatt GH, Swiontkowski MF, et al. Treatment of open fractures of the shaft of the tibia. J Bone Joint Surg Br. 2001;83:62–68.

How to Cite this article: Dheenadhayalan J , Rajasekaran R B, Sivakumar S P, Perumal R, Arun Kamal C. Skeletal Stabilization In Open Injuries. Trauma International May -Aug 2018;4(1):12-14.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Cannulated Schanz Pin: A Novel Concept for Intraosseous Antibiotic Delivery

Skeletal Stabilization In Open Injuries

Cannulated Schanz Pin: A Novel Concept for Intraosseous Antibiotic Delivery

Skeletal Stabilization In Open Injuries

Full Sized Blog Element (Big Preview Pic)

Cannulated Schanz Pin: A Novel Concept for Intraosseous Antibiotic Delivery

Author: Ninad Ashok Godghate [1], Neha Ninad Godghate [1], Ashok Shyam [2], Krishnamohan Ananda Saindane [3].

Abstract

References

(Abstract Text HTML) (Download PDF)

Skeletal Stabilization In Open Injuries

Author: Dheenadhayalan J [1], Raja Bhaskara Rajasekaran [1], Sivakumar S P [1], Ramesh Perumal [1], Arun Kamal C [1].

Abstract

References

(Abstract Text HTML) (Download PDF)

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