A technique for introducing broad-spectrum topical antibiotics during open reduction and internal fixation of
Joseph M Sliepka1, Nathan Olszewski2, Reza Firoozabadi3
1Department of Orthopaedics and Sports Medicine, University of Washington Medical Center, 908 Jefferson St., Seattle, WA, 98104, USA. jsliepka@uw.edu.
Abstract:
Postoperative surgical site infections remain a significant and prevalent complication after open reduction and internal fixation of acetabular fractures. Local antibiotics have been shown to decrease risk of postoperative infection, although recent evidence is conflicting. We provide a consistent and replicable technique for delivering intraoperative broad-spectrum antibiotics in the form of a putty applied directly to surgical implants. With this technique, systemic levels of those antibiotics remain safe and stable.
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