Work

Use of antibiotic-coated nail followed by Limb Reconstruction System to manage infected nonunion of tibia shaft fractures: Case report and review of literature

Year: 2025

Type: article

Abstract: Background: Management of infected nonunion of tibia shaft fractures presents a significant challenge in orthopedic surgery. This condition requires a multifaceted approach to eradicate infection, stabilize the fracture, and promote bone healing. Case Presentation: This report presents a case where an antibiotic-coated nail, followed by a Limb Reconstruction System (LRS), was used to successfully manage an infected nonunion of a tibial shaft fracture. The patient, a 35-year-old male, presented with a persistent infection and nonunion following a tibial shaft fracture. Initial treatment with debridement and insertion of an antibiotic-coated nail was employed to control the infection. Subsequently, the fracture was stabilized and bone healing was promoted using an LRS. Conclusion: The use of an antibiotic-coated nail followed by an LRS is an effective strategy for managing infected nonunion of tibial shaft fractures. This approach aligns with current clinical practices and provides a viable option for orthopedic surgeons facing similar complex cases. A detailed review of the literature supports the efficacy of this combined treatment protocol in achieving favorable outcomes.

Source: Journal of emergency medicine, trauma & acute care

DOI: 10.5339/jemtac.2025.46

Authors: Mainak Roy, Samir Dwidmuthe, Samrat Sahoo, Vivek Tiwari

Institutions: All India Institute of Medical Sciences, Nagpur, All India Institute of Medical Sciences, Kalyani

Topic: Bone fractures and treatments

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4415606916

FWCI:

Cites:

Cited by:

Related to: