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Therapeutics and Clinical Risk Management Volume 16, 2020 - Issue
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Case Series

Individualized Techniques of Implant Coating with an Antibiotic-Loaded, Hydroxyapatite/Calcium Sulphate Bone Graft Substitute

Holger Freischmidt1 Department of Trauma and Orthopedic Surgery, BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwigshafen am Rhein 67071, GermanyORCID Iconhttps://orcid.org/0000-0001-7309-478XView further author information
ORCID Icon,
Jonas Armbruster1 Department of Trauma and Orthopedic Surgery, BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwigshafen am Rhein 67071, GermanyView further author information
,
Gregor Reiter1 Department of Trauma and Orthopedic Surgery, BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwigshafen am Rhein 67071, GermanyView further author information
,
Paul Alfred Grützner1 Department of Trauma and Orthopedic Surgery, BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwigshafen am Rhein 67071, GermanyORCID Iconhttps://orcid.org/0000-0002-0730-4782View further author information
ORCID Icon,
Lars Helbig2 Clinic for Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Heidelberg69118, GermanyORCID Iconhttps://orcid.org/0000-0002-5648-2657View further author information
ORCID Icon &
Thorsten Guehring3 Arcus Kliniken Pforzheim, Pforzheim75179, GermanyCorrespondence[email protected]
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Pages 689-694 | Published online: 29 Jul 2020

Figures & data

Figure 1 Implant coating of a plate; (A) tibial defect after stabilization with a LCP; (B) Augmentation of the tibial defect and the plate; (C) after closing the defect with a ALT-flap; (D) bone healing in CT-scan 15 month later.

Figure 1 Implant coating of a plate; (A) tibial defect after stabilization with a LCP; (B) Augmentation of the tibial defect and the plate; (C) after closing the defect with a ALT-flap; (D) bone healing in CT-scan 15 month later.

Figure 2 Implant coating of a nail. (A) filling up the intramedullary canal with Cerament V and implantation of the augmented nail; (B) coating of the nail before implantation; (C) x-ray 22 moths after implant coating.

Figure 2 Implant coating of a nail. (A) filling up the intramedullary canal with Cerament V and implantation of the augmented nail; (B) coating of the nail before implantation; (C) x-ray 22 moths after implant coating.

Figure 3 : (A) + (B) Removal of the loosened humeral nail; (C) Implantation of a cement spacer.

Figure 3 : (A) + (B) Removal of the loosened humeral nail; (C) Implantation of a cement spacer.

Figure 4 Implant coating of a shoulder prosthesis; (A) Filling the medullary canal with 19 ml Cerament V; (B) coating of the prosthesis with Cerament V; (C) x-ray 2 moths after implant coating; (D) x-ray 15 moths after implant coating.

Figure 4 Implant coating of a shoulder prosthesis; (A) Filling the medullary canal with 19 ml Cerament V; (B) coating of the prosthesis with Cerament V; (C) x-ray 2 moths after implant coating; (D) x-ray 15 moths after implant coating.

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