Summary: Use of PLA-antibiotic coated nail in our study has shown promising results in open grade 2 fractures but not in grade 3 tibia shaft fractures.

Introduction

To study infection rates, radiological outcome (union) and functional outcome in open tibial shaft fracture cases managed with polylactic acid (PLA)-antibiotic coated nail. METHODS: 54 patients underwent debridement of wound, followed by open reduction and internal fixation with PLA-antibiotic coated nail (CE-certified, OSSIPRO, MatrixTM). The fully resorbable antibiotic coating consisted of polylactic acid matrix containing gentamicin sulphate. The thickness of antibiotic coating was 10 micrometers. Total drug in average size nail was 50 mg. RESULTS: 50 patients (40 open grade 2, 10 open grade 3a, Gustilo-Anderson classification) completed the minimum follow up of 6 months. Infection rate overall was 8% (4/50) (grade 2; 0% {0/40}, grade 3a; 40% {4/10}, P value 0.001). Union rate overall was 80% (4/50) (grade 2; 90% {36/40}, grade 3a; 40% {4/10}, P value 0.002). PCS (SF-36 score) at 6 months of follow up was 55.2 ± 20.10 (grade 2; 58.95 ± 9.99, grade 3a; 40.19 ± 16.37, P value 0.002) whereas MCS (SF-36 score) was 54.96 ± 23.5 (grade 2; 57.96 ± 16.63, grade 3a; 42.94 ± 23.75, P value 0.04). Infection rates reported in literature with the use of standard tibia nail are 3.5-10% and 5.1-15% for open grade 2 and grade 3 fractures respectively. CONCLUSION: The use of PLA-antibiotic coated nail in our study has shown promising results in open grade 2 fractures but not in grade 3 fractures. However, a larger sample size and a longer follow up would be required to further determine the usefulness of this implant.

Acute And Delayed Anterior Cruciate Ligament Repair Results In Similar Short To Mid-Term Outcomes ePoster Presentation Harmen D. Vermeijden, MD, UNITED STATES Jelle P. van der List, MD, PhD, NETHERLANDS Gregory S. Difelice, MD, UNITED STATES
Robotic-arm assisted Lateral UKA : A Promising Early Follow-up ePoster Presentation Mohan Thadi, MS DNB FRCS MCh, INDIA Johncy Panicker, MBBS, MS, INDIA
Patelloplasty Versus Traditional Patellar Retention In Tka ePoster Presentation Vitor Barion Castro De Padua, PhD, BRAZIL José Leonardo Rocha De Faria , MD, MSc, BRAZIL Felipe Galvão Abreu, MD, BRAZIL Luís Fernando Patriarcha, MD, BRAZIL Juliano Zaneti De Lima Zaneti De Lima, MD, BRAZIL Eduardo Federighi Baisi Chagas, phd, BRAZIL Tereza Lais Menegucci Zutin Lais Menegucci Zutin Zutin, MD, BRAZIL Alan de Paula Mozella, PhD, Prof., BRAZIL
Arthroscopic-Assisted Robotic Bi-Unicompartmental Knee Arthroplasty: A Pilot Cadaveric Study. ePoster Presentation Andrea Fernandez, MD, FRANCE Elliot Sappey-Marinier, MD, FRANCE Frédéric Lavoie, MD, MSc, FRCSC, CANADA Cécile Batailler, MD, PhD, FRANCE Elvire Servien, MD, PhD, Prof., FRANCE Sebastien Lustig, MD, PhD, Prof., FRANCE
Weight Bearing versus Conventional CT for the Measurement of Patellar Alignment and Stability in patients After surgical treatment for Patellar Recurrent Dislocation. ePoster Presentation Giada Lullini, MD, PhD, ITALY Claudio Belvedere, PhD, ITALY Antonio Moio, MD, ITALY Alberto Leardini, DPhil, ITALY Eugenio Cammisa, MD, ITALY MACCAFERRI BRUNA, MD, ITALY Stefano Zaffagnini, MD, Prof., ITALY Giulio Maria Marcheggiani Muccioli, MD, PhD, Associate Professor, ITALY
Injury Prevention Programs For Throwing Injuries In Softball Players ePoster Presentation Jonathan Paul, BS, UNITED STATES Symone M Brown, MPH, UNITED STATES Mary K. Mulcahey, MD, UNITED STATES
Greater Postoperative Valgus Loose Gap At 90° Of Flexion Improves Patient Reported Outcome Measurement In Anatomical Bi-Cruciate Retaining Total Knee Arthroplasty Abstract Presentation 6 minutes Takao Kaneko, MD,PhD, JAPAN Yuta Mochizuki, MD, JAPAN Masaru Hada, MD, JAPAN Shinya Toyoda, MD, JAPAN Kazutaka Takada, MD, JAPAN Hiroyasu Ikegami, MD, PhD, Prof., JAPAN
Efficacy And Safety Of Intravenous Ferric Carboxymaltose In Patients With Postoperative Anemia Following Same-Day Bilateral Total Knee Arthroplasty: A Randomized Controlled Trial Abstract Presentation 6 minutes Man-Soo Kim, MD, PhD, KOREA, REPUBLIC OF Yong Gyu Sung, MD, KOREA, REPUBLIC OF Dong-Chul Park, MD, KOREA, REPUBLIC OF Jae Jung Kim, MD, KOREA, REPUBLIC OF Yong In, MD, PhD, KOREA, REPUBLIC OF
Is Arthrometric Testing A Reliable Option For Preoperative Diagnosis Of Ramp Lesions? ePoster Presentation Arcangelo Russo, MD, ITALY Giuseppe Gianluca Costa, MD, ITALY Gianluca Gianluca Zocco, MD, ITALY Angelo Graceffa, MD, ITALY Michele Lauria, MD, ITALY Giuseppe Fanzone, MD, ITALY
Outcomes After Axial Alignment Correction For Patellofemoral Instability ePoster Presentation Kristen I Barton, MD, PhD, CANADA Nicholas Steiner, BSc, CANADA Kevin R Boldt, PhD, CANADA Olawale A Sogbein, MD, MSc, CANADA Gilbert Moatshe, MD, PhD, NORWAY Elizabeth A. Arendt, MD, UNITED STATES Alan Getgood, MD, FRCS(Tr&Orth), DipSEM, QATAR
Good Subjective Outcome And Low Risk Of Revision Surgery With A Novel Customized Metal Implant For Focal Femoral Chondral Lesions At A Minimum Of Five Years Follow-Up Abstract Presentation 5 minutes Anders Stalman, MD, PhD, Associate Professor, SWEDEN Mohanad Al-Bayati, MD, SWEDEN David Roberts, MD, PhD, SWEDEN Magnus Hogstrom, MD, PhD, SWEDEN
Bone Edema On Medial Tibial Plateau Is Associated With Rotatory Instability In Anterior Cruciate Ligament-Deficient Knees ePoster Presentation Piero Agostinone, MD, ITALY Stefano Di Paolo, Eng, PhD, ITALY Alberto Grassi, PhD, ITALY Gian Andrea Lucidi, MD, ITALY Giacomo Dal Fabbro, MD, AUSTRALIA Stefano Zaffagnini, MD, Prof., ITALY
Length Change Patterns Of The Passive Medial Knee Structures In Response To Knee Flexion And Applied Loads Abstract Presentation 7 minutes Lukas Willinger, MD, GERMANY Shun Shinohara, MSc, JAPAN Kiron K. Athwal, PhD, MEng, UNITED KINGDOM Simon Ball, MA, FRCS(Tr&Orth), UNITED KINGDOM Andy Williams, MBBS, FRCS(Orth), FFSEM(UK), UNITED KINGDOM Andrew A. Amis, FREng, DSc, PhD, UNITED KINGDOM
Robotic Unicompartmental Arthroplasty Has Higher Revision Rates With Partial Cartilage Lesions And With Inlay Prosthesis When Compared To On Lay Prosthesis ePoster Presentation Gary G. Poehling, MD, UNITED STATES Ralph D'Agostino, PhD, UNITED STATES Anirudh K Gowd, MD, UNITED STATES Asher Lichtig, MD, UNITED STATES Johannes F. Plate, MD, PhD, UNITED STATES
Deficits In Muscle Strength And Proprioception Are Not Seen Following Recovery From Augmented Repair Of Anterior Cruciate Ligament Tears ePoster Presentation William Thomas Wilson, MBChB BSc(MedSci) FRCS (Tr&Orth) MFSEM(UK), UNITED KINGDOM Matthew Banger, EngD, UNITED KINGDOM Graeme P. Hopper, MBChB, MSc, MRCSEd, MFSTEd, MD, FRCSGlas (Tr&Orth), UNITED KINGDOM Mark Blyth, MB ChB, FRCS (TR Orth), UNITED KINGDOM Gordon M Mackay, MB ChB, BSc, FRCS, MD, UNITED KINGDOM Philip E Riches, PhD, UNITED KINGDOM
Midflexion Instability Following Total Knee Arthroplasty: A Systematic Review ePoster Presentation Eran Beit Ner, MD, ISRAEL Alexander Jakubiec, BSc, MSc, UNITED KINGDOM Gwenllian F. Tawy, PhD, MRes, BSc(Hons), UNITED KINGDOM Leela C. Biant, MS, MFSTEd, FRCSEd(Tr&Orth), UNITED KINGDOM
Characterizing Health Events That Prevent Return To Play In Elite Collegiate Swimmers ePoster Presentation Rishi Trikha, MD, UNITED STATES Danielle Greig, MD, UNITED STATES Grant Schroeder, BA, UNITED STATES Thomas J. Kremen, MD, UNITED STATES
Surgical Predictors Of Clinical Outcome Six Years Following Revision ACL Reconstruction ePoster Presentation Rick W. Wright, MD, UNITED STATES
Preoperative Meniscal Extrusion Predicts Unsatisfactory Clinical Outcomes And Progression Of Osteoarthritis After Isolated Partial Medial Meniscectomy: A Five-Year Follow-Up Study Abstract Presentation 5 minutes João V. Novaretti, MD, PhD, BRAZIL Diego Costa Astur, MD, PhD, BRAZIL Elton Luiz Batista Cavalcante, MD, BRAZIL Camila Cohen Kaleka, PhD, BRAZIL Joicemar T. Amaro, MD, BRAZIL Moises Cohen, MD, PhD, Prof., BRAZIL
Patient-Reported Outcome And Surgical Conversion Rate After Treatment With A Physiotherapy-Led Progressive Exercise Program Plus A Support Brace In Patients With An Acute Injury Of The Posterior Cruciate Ligament Abstract Presentation 6 minutes Randi Rasmussen, BPT, DENMARK Julie Jacobsen, Phd, DENMARK Birgitte Blaabjerg, BsC, DENMARK Torsten Grønbech Nielsen, PhD., DENMARK Lene L. Miller, Masters Degree, DENMARK Martin Lind, MD, PhD, Prof., DENMARK
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Do menisci contribute to the overall friction within the knee joint? Abstract Presentation 5 minutes Luisa De Roy, M. Sc., GERMANY Daniela Warnecke, PhD, GERMANY Lutz Dürselen, Prof. Dr., GERMANY Anita Ignatius, Prof. Dr., GERMANY Andreas M. Seitz, PhD, GERMANY
Patient's Age Should Not Affect Selection for Fixed-Bearing Partial Knee Arthroplasty: Excellent Outcomes and Satisfaction Demonstrated for All Age Groups ePoster Presentation Damian Bull, FRCS (Tr & Orth), UNITED KINGDOM Ashim Mannan, FRCS (Tr & Orth), UNITED KINGDOM Juned Ansari, FRCS (Tr & Orth), UNITED KINGDOM Caroline Bennett, RN, UNITED KINGDOM Tahir Idrees, PGDip Public Health, UNITED KINGDOM Katy Mason, MSc, PgDip, UNITED KINGDOM Emily London, MB ChB MRes, UNITED KINGDOM David Duffy, MBBS, MRCS, FRCS, UNITED KINGDOM Nick London, MA, MD, FRCS (Tr & Orth), UNITED KINGDOM
Sport Specialization Classification And Injury Risk In Female Athletes ePoster Presentation Ehiamen T Okoruwa, MD, MS, UNITED STATES Alexandra Abbott, MD, UNITED STATES Symone M Brown, MPH, UNITED STATES Mary K. Mulcahey, MD, UNITED STATES
Correlation between tibial bone morphology and changes in joint line convergence angle ePoster Presentation Junya Itou, MD, PhD, JAPAN Umit Kuwa, MD, PhD, JAPAN Masafumi Itoh, MD, PhD, JAPAN Ken Okazaki, MD, PhD, JAPAN
High Tibial Osteotomy Combined Inlay Resurfacing Arthroplasty: Less Patellofemoral Pain And No Correction Loss Abstract Presentation 6 minutes Tahsin Beyzadeoglu, MD, Prof., TURKEY Kerem Yildirim, MD, TURKEY
Validation of the Spanish Version of the Patellofemoral Pain and Osteoarthritis Subscale of the KOOS (KOOS-PF) ePoster Presentation Juan Pablo Martinez-Cano, MD, MSc, PhD, COLOMBIA Daniel Vernaza, MD, COLOMBIA Andres Mauricio Castro Llanos, BSc, COLOMBIA Julian Chica, MD, COLOMBIA
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Dair Treatment In Early Infection Of Unicompartmental Knee Arthtroplasty: What Do We Know? Abstract Presentation 6 minutes Angela Brivio, MD, FRCS, ITALY Jürgen Martin, MD, GERMANY Nicolò Castelnuovo , MD, ITALY David S. Barrett, MD, B.Sc.,FRCS, UNITED KINGDOM
Use Of A Synthetic And Autograft Hybrid Graft For Anterior Cruciate Ligament Reconstruction Provides Good Medium To Long Term Results And Low Re-Rupture Rates ePoster Presentation Marek Olek, MD, POLAND Neil Jain, BM, MRCS(Ed), FRCS(Tr&Orth), UNITED KINGDOM Klaudiusz Kosowski, MD, POLAND
Second Anterior Cruciate Ligament Injury Rates In Younger Athletes Advised To Delay Their Return To Sport ePoster Presentation Kate E. Webster, PhD, AUSTRALIA Julian A. Feller, FRACS, FAOrthA, AUSTRALIA Haydn Klemm, BFSc&Nutr (Hons), AUSTRALIA
The Effect of Polyethylene Thickness on Revision Rates of Contemporary Cruciate Retaining Knee Replacements. A Registry Analysis. ePoster Presentation Christopher J. Wilson, A/Prof, MBChB, MRCS, FRACS, PhD, AUSTRALIA Maryam Khan, MD, AUSTRALIA Mark Inglis, FRACS BMBS B Med Sci FOrthoA, AUSTRALIA Anthony J Samson, BSc (Hons) BMBS FRACS FAOrthA, AUSTRALIA
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Bowlegs In Soccer Players - Overuse Of Knee Growth Plates? ePoster Presentation Zmago Krajnc, PhD, SLOVENIA Mitja Rupreht, PhD, SLOVENIA Matej Drobnic, MD, SLOVENIA
Arthroscopic Suture Fixation Of Comminuted Tibial Spine Fractures ePoster Presentation Kumar Shantanu, MS, Mch, INDIA
Changes In Sagittal And Axial Plane Alignment In Medial Opening Wedge High Tibial Osteotomy: A Prospective Observational Study ePoster Presentation Tarun Goyal, MBBS, MS, DNB, MCh, FRCS (Edin), INDIA Pragadeeshwaran J, MS, INDIA Souvik Paul, MBBS, MS Orthopedics (AIIMS), DNB, MCh, Dip SICOT, INDIA
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Patient Specific Instrumentation In Acl Reconstruction. A Novel Technique Using A 3D Printed Guide. ePoster Presentation Mark Zee, MD, NETHERLANDS Joep Kraeima, PhD, NETHERLANDS Alain Viddeleer, MD, PhD, NETHERLANDS Ronald L. Diercks, Prof, MD, PhD, NETHERLANDS
Predictor Of Poor Pre-Operative Psychological Status In Cartilage Defect Patients Abstract Presentation 6 minutes David C. Flanigan, MD, UNITED STATES Alex C. Dibartola, MD, MPH, UNITED STATES Matthew Wiet, BS, UNITED STATES Joshua Scott Everhart, MD, MPH, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES Laura C. Schmitt, PT, PhD, FAPTA, UNITED STATES Charles Emery, PhD, UNITED STATES
Anterior Cruciate Ligament Deficiency Does Not Reduce the Clinical Effectiveness of Fixed-Bearing Partial Knee Arthroplasty ePoster Presentation Ashim Mannan, FRCS (Tr & Orth), UNITED KINGDOM Damian Bull, FRCS (Tr & Orth), UNITED KINGDOM Juned Ansari, FRCS (Tr & Orth), UNITED KINGDOM Caroline Bennett, RN, UNITED KINGDOM Tahir Idrees, PGDip Public Health, UNITED KINGDOM Katy Mason, MSc, PgDip, UNITED KINGDOM Emily London, MB ChB MRes, UNITED KINGDOM David Duffy, MBBS, MRCS, FRCS, UNITED KINGDOM Nick London, MA, MD, FRCS (Tr & Orth), UNITED KINGDOM
Higher Survival Rate Of Total Knee Arthroplasty After High Tibial Osteotomy Compared With Unicompartmental Knee Arthroplasty; A Study Of A Nationwide Cohort Data In Korea Abstract Presentation 5 minutes Sun-Ho Lee, MD, KOREA, REPUBLIC OF Jong-Keun Seon, MD, PhD, Prof, KOREA, REPUBLIC OF Eun-Kyoo Song, MD, PhD, Prof., KOREA, REPUBLIC OF
MPFL Length Change Patterns In Asymptomatic Knees Of Patients With Contralateral Patellar Instability ePoster Presentation Miho J. Tanaka, MD, PhD, UNITED STATES Karina Mirochnik, BS, UNITED STATES F. Joseph Simeone, MD, UNITED STATES Eric M. Berkson, MD, UNITED STATES Kartik M Varadarajan, PhD, UNITED STATES
Total Knee Arthroplasty: Factors Predicting Patient Satisfaction ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Mouadh Nefiss, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Anis Tebourbi, MD, TUNISIA
Radiological Outcomes Following Osteochondral Allograft With Fresh Pre-Cut Cores Versus Hemi-Condylar Allografts ePoster Presentation Eoghan T. Hurley, MB, BCh, MCh, IRELAND Erin Alaia, MD, UNITED STATES Danielle Heather Markus, BA, UNITED STATES Brian John Mannino, MD, UNITED STATES Kirk Anthony Campbell, MD, UNITED STATES Laith M. Jazrawi, MD, UNITED STATES Eric Jason Strauss, MD Michael J Alaia, MD, UNITED STATES
Side-To-Side Anterior Tibial Translation on Monopodal Weightbearing Radiographs as a Sign of Knee Decompensation in ACL Deficient Knees Abstract Presentation 5 minutes Luca Macchiarola, MD, ITALY jeremie Dor, MD, LUXEMBOURG Christophe Jacquet , MD, LUXEMBOURG Caroline Mouton, PhD, LUXEMBOURG Stefano Zaffagnini, MD, Prof., ITALY Romain Seil, MD, Prof., LUXEMBOURG
Meniscal Repair at the Time of Primary ACLR Does Not Negatively Influence Short Term Knee Stability, Graft Rupture Rates, or Patient Reported Outcome Measures: the STABILITY Experience Abstract Presentation 6 minutes Andrew Firth, PhD, CANADA Hana Marmura, MPT, PhD, UNITED STATES Lachlan Batty, FRACS, AUSTRALIA Dianne M. Bryant, PhD, CANADA Alan Getgood, MD, FRCS(Tr&Orth), DipSEM, QATAR Stability Study Group, CANADA
Do The Acl Reconstruction Outcomes With Hamstring Autografts Depend On The Percentage Of Native ACL Tibial Footprint Area Restored ? ePoster Presentation Rohan Bhargava, MS(Ortho) , DNB(Ortho) , FNB, MRCS ( Ed.), INDIA Parag Sancheti, FRCS (Ed),MS(ORTH), DNB(ORTH), MCh(UK),Ph.D(UK), INDIA Ashok Kumar Shyam, M. Orthopaedics, INDIA
Biomechanical Comparison Of Knotted And Knotless Reconstruction Of Full-Thickness Tears Of The Upper Subscapularis Tendon ePoster Presentation Mirco Sgroi, MD, GERMANY Thomas Kappe, MD, Prof., GERMANY Heiko Reichel, Prof., GERMANY Marius Ludwig, MD, GERMANY Michael Fuchs, Dr., GERMANY Anita Ignatius, Prof. Dr., GERMANY Lutz Dürselen, Prof. Dr., GERMANY Andreas M. Seitz, PhD, GERMANY
Incidence Of Peripatellar Neuropathy Following Total Knee Arthroplasty ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Mohamed Hedi Ezzine, MD, TUNISIA Mouadh Nefiss, MD, TUNISIA Amine Nouira, MD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Anis Tebourbi, MD, TUNISIA
Poly-L Lactic Acid Mesh Augmentation Improves Cyclic Gap Formation In Transosseous Patellar Tendon Repair: A Biomechanical Study ePoster Presentation

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Preliminary Results With The Use Of Polylactic Acid (Pla)-Antibiotic Coated Nail In Open Tibial Shaft Fractures

Preliminary Results With The Use Of Polylactic Acid (Pla)-Antibiotic Coated Nail In Open Tibial Shaft Fractures

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Preliminary Results With The Use Of Polylactic Acid (Pla)-Antibiotic Coated Nail In Open Tibial Shaft Fractures

Preliminary Results With The Use Of Polylactic Acid (Pla)-Antibiotic Coated Nail In Open Tibial Shaft Fractures

Introduction