Adjuvant Local Antibiotic Hydroxyapatite Bio-Composite in the management of open Gustilo Anderson IIIB fractures. Prospective Review of 80 Patients from the Manchester Ortho-Plastic Unit

Ahmed Aljawadi, Amirul Islam, Noman Jahangir, Noman Niazi, Zak Ferguson, Benjamin Sephton, Mohammed Elmajee, Adam Reid, Jason Wong, Anand Pillai

Research output: Contribution to journalArticlepeer-review

Abstract

Background: This study aims to evaluate outcomes of using Adjuvant Local Antibiotic Hydroxyapatite Bio-Composite in management of Open Gustilo-Anderson IIIB Fractures. Methods and results: 80 patients were managed with single-stage “Fix and Flap” along with intra-operative Adjuvant Local Antibiotic Bio-Composite. Successful fracture union was achieved in 96.1% of patients, with a limb salvage rate of 96.25%. Infection rate was only 1.25%. Conclusion: High union rate and very low deep infection rate can be predictably achieved in complex Open Gustilo-Anderson IIIB fractures by meticulous technique, use of local adjunctive antibiotics bio-composite and a combined ortho-plastic approach.

Original languageEnglish
Pages (from-to)261-266
Number of pages6
JournalJournal of Orthopaedics
Volume18
Early online date11 Jan 2020
DOIs
Publication statusPublished - Mar 2020

Keywords

  • Cerament G
  • Fix and flap
  • Gustilo anderson
  • Local antibiotics
  • Open fracture
  • Orthoplastic

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