Aimal Sattar, Muhammad Ishaq, Wali Muhammad.
Solid bone cement antibiotic loaded dressing in infected and open wounds.
Pak J Surg Jan ;36(2):181-4.

In this new method of treatment of solid dressing which is not absorbed through blood and serum, is non adherent, does not directly compress damage area and does not cause more ischemia and prevent direct pressure over traumatic and infected part. Provide local antibiotic to the affected part. It is because of these reasons it is more effective type of treatment and can prevent infection in all high risk infection after surgery. Material and Methods: Study is carried out in the department of Orthopaedics, Lady Reading Hospital, KPK from January 2017 to December 2018. Result: We treated 30-total cases in which 6 were having exposed bone and difficult to reconstruct and needed amputation, but they refused amputation. 10-diabetic foot, 4-crush injuries, 10-tibia open fractures which were treated with cement loaded antibiotic cover, without IV or oral antibiotic cover, without use of antiseptic, and we used one pack of cement 2g of Vancomycin and 1.5 g of Amikacin, and we made them more flat to take form of the defect and cover the affected part of the tissues, before it become hot and warm we took it away from the affected part to not burn the affected area when it became cold then we fixed it over that part which was not reconstructable with muscle flap, local flap, or skin graft . We protected the wound from infection. Protected granulation, protected epithelialization in the edges of the wound, and to prevent accumulation of blood and serous fluid in the defect. We kept one cover of loaded cement up to two weeks and we used it up to full granulation of wound or epithelialization. Conclusion: Solid dressing as a simple and best method of infection control in tibia open fractures and non union in which skin closure is big problem and protection of hematoma in fractures ends after fixation are protected by this method and we noted healing in 10-complicated tibia fractures without bone graft in which we did skin graft also and we noted cross union between tibia and fibula which has similar result like stem cells implantations.

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