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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-11-2014 | Knee

Treatment for Staphylococcus aureus infection following open wedge high tibial osteotomy using antibiotic-impregnated calcium phosphate cement

Authors: Kazushige Seki, Akihito Sakka, Atsunori Tokushige, Takashi Imagama, Masanori Mutou, Toshihiko Taguchi

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 11/2014

Abstract

This report describes a case of Staphylococcus aureus infection following open wedge high tibial osteotomy, which was successfully treated with by implant removal and replacement with antibiotic-impregnated calcium phosphate cement along with external fixation. The infection occurred 7 months after primary surgery and was treated by implant removal, debridement, external fixation, and application of vancomycin impregnated calcium phosphate cement to fill the defect. Subsequently, the infection resolved completely, and the osteotomy healed with no correction loss. Compared with conventional bone cement, calcium phosphate cement might be an optimal material for certain cases of infection after open wedge high tibial osteotomy because of its higher antibiotic retention, biocompatibility, osteoconductivity, and compatibility with heatlabile antibiotics.

Level of evidence V.

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Title: Treatment for Staphylococcus aureus infection following open wedge high tibial osteotomy using antibiotic-impregnated calcium phosphate cement
Authors: Kazushige Seki
Akihito Sakka
Atsunori Tokushige
Takashi Imagama
Masanori Mutou
Toshihiko Taguchi
Publication date: 01-11-2014
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 11/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-013-2460-9

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Springer Medicine

Treatment for Staphylococcus aureus infection following open wedge high tibial osteotomy using antibiotic-impregnated calcium phosphate cement

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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