Management of Infected Non-Union by Implant Retainment and Papineau Open Bone Grafting – Report of Two Cases.
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Date
2015-03
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Abstract
Introduction : Infection following implant surgery in
orthopaedics is a disaster both for surgeon and patient.
Management of infected non-union is a most challenging
task an orthopaedic surgeon can ever face. Infection
following implant surgery not only leads to repeated
surgeries, long term antibiotic use, stiffness of neighbouring
joints and long term hospital stay but also effects patients
economic, social, psychological status. Cases : Here we
present report of 2 cases infected non-union ulna which
was managed by stabilisation of non-union site by altering
position of existing plate followed by period of open dressing
till healthy granulation tissue appears. Later open bone
grafting procedure done. Both patients were followed up
for 15 months. Results : At the end of 4 months both
patients achieved bony union without recurrence of
infection. So, we conclude management of infected nonunions
by altering plate position and by following papineau
method of open bone grafting leads to satisfactory results.
Conclusion : This technique is simple, effective and done
with minimal expenditure and could be best procedure of
choice in patients where cost benefit analysis appears
critical.
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Keywords
infected non-union, plate repositioning, papineau open bone grafting
Citation
Mahapatra Swagat, Suruchi. Management of Infected Non-Union by Implant Retainment and Papineau Open Bone Grafting – Report of Two Cases. Indian Medical Gazette. 2015 Mar; 149 (3): 119-122.