How to Create Antibiotic Cement-Coated Intramedullary Nails Using the Exterminator System

Description

In this instructional video, Dr. Janet Conway demonstrates the process of creating an antibiotic-coated intermedullary rod using a device called the exterminator. She outlines the necessary materials, which include cement infused with tobramycin and vancomycin, monomers, a cement gun, and an intermedullary rod.



The process begins by placing a liquid at the bottom of the cement tower to facilitate mixing, followed by adding the antibiotics and cement mixture. A vacuum is applied to ensure a thorough mix. As Dr. Conway proceeds, she carefully inserts a 10 mm rod which eventually will become coated with the cement mixture down the tubing. She explains the significance of measuring the rod's diameter and ensuring an even coating while removing any excess cement to avoid interference with its insertion.



Next, she meticulously cuts off the tubing, revealing a smooth and uniform coating on the rod. To enhance the rod's insertion ease, she demonstrates how to bevel the tip, concluding with a satisfied note on the efficiency and cleanliness of using the exterminator device. Dr. Conway emphasizes the ease of use and the lack of mess associated with this method, showcasing the successful creation of the antibiotic-coated rod.

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