The authors report a case of an open mallet injury with a traumatic arthrotomy which was complicated with a destructive infection involving both the middle and distal phalanges of a ring digit and which was treated with two-stage reconstructive surgery with good results. In the first stage, after the osteomyelitic portion of adjacent phalangeal bones were excised en bloc, the dead space was fil...

Post-traumatic long bone osteomyelitis (PTOM) is a relatively frequent occurrence in patients with severe open fractures and requires treatment to prevent limb-threatening complications. The Masquelet technique represents a length-independent, two-staged reconstruction that involves the induction of a periosteal membrane and use of an antibiotic-impregnated cement spacer for the treatment of se...

Segmental long bone defects resulting from high-energy trauma with severe soft tissue loss are difficult problems to manage. Amputation was for a long time the primary mainstay of treatment. This is the report on a 15-year-old male patient who sustained a third-degree open, traumatic fracture with partial amputation of the left distal femur and extensive bone loss of 26 cm. Successful limb salv...

An immunocompromised patient with a history of multiple hip implant revisions extended courses of empiric antibiotic treatment, and a retained metallic rod in the femoral medullary canal was transferred for diagnostic studies and treatment. A high suspicion of fungal infection and utilization of extended and specific fungal cultures were the diagnostic keys for infection with Trichosporon inkin...

The study performed the biomechanical testing of polymethylmethacrylate (PMMA) specimens with unreinforced progressive antibiotic loading, compared to samples reinforced Kirschner wires, by subjecting these mechanical compression forces. A difference was observed in yield which an concentration that exceeded usual amount used. In this combination vancomycin powder and liquid gentamicin, spacer ...

BACKGROUND The purpose of this study was to determine the degree of infection control and postoperative function for new articulating metal-on-cement spacer. METHODS A retrospective study of 19 patients (20 cases), who underwent a two-stage revision arthroplasty using mobile cement prosthesis, were followed for a minimum of 2 years. This series consisted of 16 women and 3 men, having an overa...

The aim of this retrospective study was to identify and evaluate complications after hip spacer implantation other than reinfection and/or infection persistence. Between 1999 and 2008, 88 hip spacer implantations in 82 patients have been performed. There were 43 male and 39 female patients at a mean age of 70 [43-89] years. The mean spacer implantation time was 90 [14-1460] days. The mean follo...

BACKGROUND At present, the use of a cervical cage and plating has become an accepted and widely practiced surgical intervention for the treatment of cervical spondylosis and disc herniation. Polymethylmethacrylate (PMMA) bone cement has been used in cervical disc disease as a spacer, with good longterm outcomes, but the method does not result in solid bone fusion in all cases. METHODS A prosp...

Background: Masquelet technique involves two stages for reconstruction of bony defects. During stage one decontamination and debridement is performed. The bone defect filled by a spacer made cement. After gap around 6 weeks, bio-membrane established the cement spacer. two, removed cancellous autologous graft used to fill space that was previously occupied However, there huge scarcity literature...