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Antibiotic Impregnated Cement Dowel in a Tibial Stump to Salvage Infected Below-Knee Amputation in a Diabetic
CASE: We describe the use of local antibiotics to salvage an infected below-knee amputation in a diabetic patient and prevent the need to convert to the above-knee level. After débridement, an antibiotic tibial “dowel” was fashioned and inserted into the intramedullary canal before closure. The woun...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6855496/ https://www.ncbi.nlm.nih.gov/pubmed/31773071 http://dx.doi.org/10.5435/JAAOSGlobal-D-18-00042 |
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author | Sidhu, Sahil Prabhnoor White, Neil Jeffrey |
author_facet | Sidhu, Sahil Prabhnoor White, Neil Jeffrey |
author_sort | Sidhu, Sahil Prabhnoor |
collection | PubMed |
description | CASE: We describe the use of local antibiotics to salvage an infected below-knee amputation in a diabetic patient and prevent the need to convert to the above-knee level. After débridement, an antibiotic tibial “dowel” was fashioned and inserted into the intramedullary canal before closure. The wound was fully healed after four months, and the patient remained satisfied at 15 months. CONCLUSION: This case report offers an adjunct to the conventional management of diabetic stump infections. The addition of an antibiotic spacer could offer an alternative to a higher level of amputation and improve the survival rates of below-knee amputation in this difficult population. |
format | Online Article Text |
id | pubmed-6855496 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer |
record_format | MEDLINE/PubMed |
spelling | pubmed-68554962019-11-26 Antibiotic Impregnated Cement Dowel in a Tibial Stump to Salvage Infected Below-Knee Amputation in a Diabetic Sidhu, Sahil Prabhnoor White, Neil Jeffrey J Am Acad Orthop Surg Glob Res Rev Case Report CASE: We describe the use of local antibiotics to salvage an infected below-knee amputation in a diabetic patient and prevent the need to convert to the above-knee level. After débridement, an antibiotic tibial “dowel” was fashioned and inserted into the intramedullary canal before closure. The wound was fully healed after four months, and the patient remained satisfied at 15 months. CONCLUSION: This case report offers an adjunct to the conventional management of diabetic stump infections. The addition of an antibiotic spacer could offer an alternative to a higher level of amputation and improve the survival rates of below-knee amputation in this difficult population. Wolters Kluwer 2019-10-15 /pmc/articles/PMC6855496/ /pubmed/31773071 http://dx.doi.org/10.5435/JAAOSGlobal-D-18-00042 Text en Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Sidhu, Sahil Prabhnoor White, Neil Jeffrey Antibiotic Impregnated Cement Dowel in a Tibial Stump to Salvage Infected Below-Knee Amputation in a Diabetic |
title | Antibiotic Impregnated Cement Dowel in a Tibial Stump to Salvage Infected Below-Knee Amputation in a Diabetic |
title_full | Antibiotic Impregnated Cement Dowel in a Tibial Stump to Salvage Infected Below-Knee Amputation in a Diabetic |
title_fullStr | Antibiotic Impregnated Cement Dowel in a Tibial Stump to Salvage Infected Below-Knee Amputation in a Diabetic |
title_full_unstemmed | Antibiotic Impregnated Cement Dowel in a Tibial Stump to Salvage Infected Below-Knee Amputation in a Diabetic |
title_short | Antibiotic Impregnated Cement Dowel in a Tibial Stump to Salvage Infected Below-Knee Amputation in a Diabetic |
title_sort | antibiotic impregnated cement dowel in a tibial stump to salvage infected below-knee amputation in a diabetic |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6855496/ https://www.ncbi.nlm.nih.gov/pubmed/31773071 http://dx.doi.org/10.5435/JAAOSGlobal-D-18-00042 |
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