Open AccessAntibiotic Impregnated Cement Dowel in a Tibial Stump to Salvage Infected Below-Knee Amputation in a Diabetic
Author(s) -
Sahil Prabhnoor Sidhu,
Neil J. White
Publication year - 2019
Publication title -
journal of the american academy of orthopaedic surgeons. global research and reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.358
H-Index - 2
ISSN - 2474-7661
DOI - 10.5435/jaaosglobal-d-18-00042
Subject(s) - medicine , amputation , surgery , dowel , intramedullary rod , antibiotics , population , environmental health , microbiology and biotechnology , biology , structural engineering , engineering
We describe the use of local antibiotics to salvage an infected below-knee amputation in a diabetic patient and prevent the need to convert to the above-knee level. After débridement, an antibiotic tibial "dowel" was fashioned and inserted into the intramedullary canal before closure. The wound was fully healed after four months, and the patient remained satisfied at 15 months.