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Table 2 The details of surgery and follow-up outcomes of nineteen cases

From: Intramedullary reaming and irrigation and antibiotic-loaded calcium sulfate implantation for the treatment of infection after intramedullary nailing: a retrospective study of 19 cases

Case No. Microbiology Description of surgery Time for normalization of infection markers Follow-up (months) Recurrence Outcome
1 MRSA IM nail removal+Debridement+CS + EF 2 weeks 36 No Pain free, FWB
mobilisation
2 E. coli IM nail removal+Debridement+CS 4 weeks 24 No Pain free, FWB
mobilisation
3 CoNS +E. coli IM nail removal+Debridement+CS + EF+
Bone transport
8 weeks 38 No Mild pain with movement, FWB mobilisation
4 IM nail removal+Debridement+CS 4 weeks 37 No Pain free, FWB
mobilisation
5 MSSA IM nail removal+Debridement+CS + EF+
Bone transport
3 weeks 27 No Mild pain and movement limitation
on
right ankle
6 MRSA IM nail removal+Debridement+CS + EF+
Bone transport
2 weeks 26 No Pain free, FWB
mobilisation
7 CoNS IM nail removal+Debridement+CS + EF 5 weeks 41 Yes, 3 months after the first surgery Segmental resection and bone transport
8 Ent. Cloacae IM nail removal+Debridement+CS 2 weeks 46 No Pain free, FWB
mobilisation
9 IM nail removal+Debridement+CS 4 weeks 25 No Refracture four months after first surgery, followed by EF fixation
10 CoNS IM nail removal+Debridement+CS + EF+
Bone transport
2 weeks 33 No Pain free, FWB
mobilisation
11 MSSA IM nail removal+Debridement+CS + EF 3 weeks 52 No Pain free, FWB
mobilisation
12 CoNS IM nail removal+Debridement+CS + EF+
Bone transport
3 weeks 41 No Mild pain with movement, FWB mobilisation
13 MSSA IM nail removal+Debridement+CS 2 weeks 38 No Pain free, FWB
mobilisation
14 MSSA IM nail removal+Debridement+CS + EF 2 weeks 40 No Pain free, FWB
mobilisation
15 MSSA IM nail removal+Debridement+CS + EF+
Bone transport
3 weeks 30 No Mild pain with movement, FWB mobilisation
16 MRSA IM nail removal+Debridement+CS + EF 2 weeks 55 No Pain free, FWB
mobilisation
17 E.coli+MRSA IM nail removal+Debridement+CS 2 weeks 44 No Pain free, FWB
mobilisation
18 CoNS IM nail removal+Debridement+CS + EF+
Bone transport
6 weeks 37 No Mild pain with movement, FWB mobilisation
19 CoNS+MRSA IM nail removal+Debridement+CS + EF+
Bone transport
6 weeks 54 No Pain free, FWB
mobilisation
  1. CoNS coagulase-negative staphylococcus, E. coli Escherichia coli, Ent. Cloacae Enterobacter cloacae, MRSA methicillin-resistant Staphylococcus aureus, MSSA methicillinsensitive Staphylococcus aureus
  2. CS, calcium sulfate; EF, external fixator; IM, intramedullary
  3. CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; WBC, white blood cells FWB, full weight bearing