Antibiotic-impregnated cement spacer for bone defects of the forearm and hand

Gregory L. DeSilva, Anthony Fritzler, Stephen P. DeSilva

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Management of bone loss, particularly in the face of open or contaminated wounds, presents a reconstructive challenge. Polymethylmethacrylate impregnated with antibiotics has been used successfully in the treatment of infected total joint arthroplasty and open fractures. The cement delivers high-dose local concentrations of antibiotics while filling a space. This article presents our use of an antibiotic-impregnated cement spacer for bone loss in the forearm or hand in the face of open or infected wounds. The cement spacer fills a potential space, prevents the involution of the surrounding soft tissue, and delivers appropriate antibiotics. When the spacer is removed, the remaining sheath serves to hold and contain the cancellous bone graft.

Original languageEnglish (US)
Pages (from-to)163-167
Number of pages5
JournalTechniques in Hand and Upper Extremity Surgery
Volume11
Issue number2
DOIs
StatePublished - Jun 1 2007
Externally publishedYes

Keywords

  • Antibiotics
  • Bone loss
  • Cement
  • Forearm

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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