The State of Local Antibiotic Use in Orthopedic Trauma

Orthop Clin North Am. 2024 Apr;55(2):207-216. doi: 10.1016/j.ocl.2023.07.003. Epub 2023 Aug 21.ABSTRACTFracture-related infections are a challenging complication in orthopedic trauma that often necessitates multiple surgeries. Early administration of systemic antibiotics and surgical intervention remains the gold standard of care, but despite these measures, treatment failures can be as high as 35%. For these reasons, the introduction of local antibiotics at the site of at-risk fractures has increased over the past decade. This review looks at the various measures being used clinically including local antibiotic powder, polymethylmethacrylate, biodegradable substances, antibiotic-coated implants, and novel methods such as hydrogels and nanoparticles that have the potential for use in the future.PMID:38403367 | DOI:10.1016/j.ocl.2023.07.003
Source: The Orthopedic Clinics of North America - Category: Orthopaedics Authors: Source Type: research