The treatment of infected tibial nonunion usually includes a staged reconstruction protocol. We present 2 patients with tibial nonunion and plate loosening with oxacillin-resistant Staphylococcus aureus infection. The patients were treated using the removal of the plate, radical debridement, and implantation of gentamycin-impregnated cement beads during the first stage. During the second stage, plate fixation was performed and tobramycin-impregnated calcium sulfate (Osteoset T®) was used as a bone graft substitute. Neither an autogenous bone graft nor an allograft was used. At 3 years of follow-up, each tibia showed good union, and there was no recurrence of infection. We consider tobramycin-impregnated calcium sulfate to be an alternative method of bone grafting to treat infected tibial nonunion.
|頁（從 - 到）||542-547|
|期刊||Chang Gung Medical Journal|
|出版狀態||已發佈 - 七月 2004|
ASJC Scopus subject areas
Tsai, Y. H., Huang, T. J., Shih, H. N., & Hsu, R. W. W. (2004). Treatment of infected tibial nonunion with tobramycin-impregnated calcium sulfate: Report of two cases. Chang Gung Medical Journal, 27(7), 542-547.