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do antibiotic beads need to be removed?
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نویسنده
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fernando navin ,werner shawn ,elhaddad moamen ,davies jonah ,firoozabadi reza
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منبع
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the archives of bone and joint surgery - 2020 - دوره : 8 - شماره : 4 - صفحه:502 -505
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چکیده
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Background: polymethylmethacrylate antibiotic impregnated beads can be an effective treatment for chronicosteomyelitis or an adjuvant in the treatment of open fractures. it remains unclear however whether the beads causelongterm adverse events if not removed. the purpose of this study was to determine if removal of antibiotic beads wasrequired in order to avoid long term complications.methods: a retrospective chart review was conducted on patients with an extremity or pelvis fracture that hadimplantation of polymethylmethacrylate (pmma) antibiotic beads over a fiveyear period.results: fiftyone patients met inclusion criteria for this study; thirtyseven patients (73%) did not have complicationsafter surgical debridement and placement of pmma antibiotic beads necessitating removal.conclusion: our findings suggest that polymethylmethacrylate antibiotic beads can be utilized as a means of deliveringhighdose concentrations of local antibiotics and do not have to be removed in all patients.level of evidence: iii
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کلیدواژه
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antibiotics ,antibiotic beads ,antibiotic resistance ,fracture ,infection
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آدرس
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university of washington, hip and knee center at northwest primary and specialty carespecialty care north seattle, usa, aurora medical center summit, usa, university of washington, harborview medical centercenter, department of orthopedic surgery, usa, university of washington, harborview medical centercenter, department of orthopedic surgery, usa, university of washington, harborview medical centercenter, department of orthopedic surgery, usa
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پست الکترونیکی
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rezaf2@uw.edu
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Authors
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