Table 1.
Literature review of antibiotic cement nail cases.
| First author | Year | Number of cases | Anatomical site | Mean age (range) | Follow-up (range) | Nail formulation per 40 g PMMA |
Results |
|---|---|---|---|---|---|---|---|
| Case series | |||||||
| Kanakaris [28] | 2014 | 24 | 14 femurs 10 tibias |
47 (17–75) years | 19 (8–36) months | 0.5 g gentamicin 2 g vancomycin, antifungals |
4% recurrence 5% failure in nail removal |
| Asloum [29] | 2014 | 28 | 3 femurs 25 tibias |
43 (19–70) years | 48 (4–96) months | Unknown | 7% recurrence 7% complications |
| Dhanasekhar [30] | 2013 | 18 | Femurs and tibias | Unknown | Unknown | 2 g vancomycin 0.5 gentamicin |
0% recurrence |
| Wasko [23] | 2013 | 10 | 10 tibias | 42 (20–59) years | 72 (60–84) months | 2.5 gentamicin | 0% recurrence 0% complications |
| Selhi [31] | 2011 | 16 | 8 femurs 7 tibias 1 humerus |
38 (18–54) years | Unknown | 4 g vancomycin 0.5 gentamicin |
31% recurrence 0% complications |
| Kanakaris [32] | 2011 | 8 | 8 femurs | 40 (22–76) years | 12 (12–20) months | 0.5 g gentamicin 2 g vancomycin |
0% recurrence 0% complications |
| Bar-On [33] | 2010 | 4 | 2 femurs 2 tibias |
9 (5–14) years | 41 (36–46) months | Unknown | 0% recurrence 50% wound healing disturbances |
| Bhadra [13] | 2009 | 30 | Lower limb | 47 (20–79) years | 26 (4–40) months | 1.2 mg tobramycin 1 g vancomycin |
Unknown |
| Shyam [34] | 2009 | 25 | 23 femurs 2 tibias |
33 (21–58) years | 29 (18–40) months | 2 g vancomycin 2 g gentamicin |
20% recurrence 0% complications |
| Sancineto [27] | 2008 | 18 | 4 femurs 14 tibias |
37 (18–52) years | 12 (10–54) months | 4 g vancomycin Various others |
6% recurrence 6% intolerance to nail |
| Qiang [35] | 2007 | 19 | 5 femurs 14 tibias |
38 (22–78) years | 16 (6–28) months | 2 g vancomycin | 0% recurrence 5% complications |
| Paley [21] | 2002 | 9 | 6 femurs 2 tibias 1 humerus |
30 (8–70) years | 41 (32–48) months | 2.4 tobramycin 2 g vancomycin |
0% recurrence 10% rod fracture |
|
| |||||||
| Case reports | |||||||
| Mauffrey [36] | 2014 | 1 | 1 femur | 58 years | 2 months | 0.5 gentamicin 2.4 g tobramycin 2 g vancomycin |
Unknown |
| Riel [37] | 2010 | 1 | 1 tibia | ±65 years | Unknown | 0.5 g gentamicin | Unknown |
| Madanagopal [12] | 2004 | 1 | 1 tibia | Unknown | Unknown | 1.2 g tobramycin | 0% recurrence |
| Ohtsuka [38] | 2002 | 1 | 1 tibia | 28 years | 18 months | 1.2 gentamicin | 0% recurrence |