Osteomyelitis Debridement Science or Experience? LLRS Specialty PDF
Preview Osteomyelitis Debridement Science or Experience? LLRS Specialty
S. Robert Rozbruch, MD Chief, Limb Lengthening & Complex Reconstruction Service Professor of Clinical Orthopedic Surgery DISCLOSURE SLIDE As faculty we are committed to providing transparency in any/all external relationships prior to giving an academic presentation. S. Robert Rozbruch, MD Disclosure: {I DO} have a financial relationship with any commercial interest. Smith and Nephew: consultant, royalties Small Bone Innovations: consultant, royalties Debride necrotic bone • Bleeding bone • Open IM canals Remove hardware Obtain reliable cultures • Stop antibiotics in advance Dead space management • Antibiotic cement • Close Defect quickly Optomize geometry Stabilization • Frame, plate, IM nail (antibiotic coated) Soft-tissue coverage Systemic Antibiotics Cierny 1 Dessicated bone 83 year old woman Irradiated squamous cell CA Cierny 2 that became a 3 Antibiotic coated IM nail CONCERNED ABOUT BONE STABILITY AND FRACTURE- REASON FOR IM NAIL RATHER THAN JUST BEADS Spy machine
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