Antibiotic Cement-Coated Plates for Management of Infected Fractures

Description

In this instructional video, Dr. Janet Conway from the Rubin Institute teaches viewers how to create antibiotic-coated plates for medical use. The presentation begins with an introduction of the materials needed, such as Tygon silicone tubing and cement. Dr. Conway explains the specific amounts of antibiotics required to coat the plates, including 3.6 grams of tober and 1 gram of vancomycin for each 40-gram pack of cement.



As she demonstrates the process, Dr. Conway highlights the challenges of working with different plate sizes and shapes, particularly the need for precision when inserting plates into the round silicone tubing. She discusses the importance of managing the thickness of the coating and how to work effectively with the cement mixture, emphasizing techniques such as using blocking screws and adjusting the silicone tubing to achieve an even application.



Throughout the video, she addresses common issues, shares tips for troubleshooting, and demonstrates how to ensure screw holes remain clear. Dr. Conway also mentions the importance of using the coated plates in various surgical situations, such as treating infections in elbow arthrodesis or replating fractured bones. The tutorial concludes with a summary of the method and an encouraging message for viewers, wishing them good luck in the operating room and referring to existing literature on the topic.

DOI: 10.1302/3114-230049

Specialties