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BioMed Research International
Volume 2015, Article ID 387186, 12 pages
http://dx.doi.org/10.1155/2015/387186
Review Article

Custom-Made Antibiotic Cement Nails in Orthopaedic Trauma: Review of Outcomes, New Approaches, and Perspectives

1Department of Orthopaedics and Rheumoortopaedics, Prof. A. Gruca Teaching Hospital, Konarskiego 13, 05-400 Otwock, Poland
2Department of Trauma Surgery and Orthopaedics, Prof. A. Gruca Teaching Hospital, Konarskiego 13, 05-400 Otwock, Poland

Received 20 February 2015; Revised 18 May 2015; Accepted 20 May 2015

Academic Editor: Francesco Piraino

Copyright © 2015 Marcin K. Wasko and Rafal Kaminski. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Since the first description in 2002 by Paley and Herzenberg, antibiotic bone cement nails (ACNs) have become an effective tool in the orthopaedic trauma surgeons’ hands. They simultaneously elute high amounts of antibiotics into medullary canal dead space and provide limited stability to the debrided long bone. In this paper, we perform a systematic review of current evidence on ACNs in orthopaedic trauma and provide an up-to-date review of the indications, operative technique, failure mechanisms, complications, outcomes, and outlooks for the ACNs use in long bone infection.