{
    "abstract": "To report the outcomes of antibiotic cement-coated interlocking nail (ACCIN) removal, detail a removal technique that mitigates debonding of coating, and describe how to address occurrences intraoperatively.\nRetrospective case series.\nLevel II trauma center.\nTwenty-eight patients who underwent ACCIN removal between January 2014 and August 2019.\nRemoval of ACCINs that were coated using the silicone tubing method.\nSuccessful removal of the nail with intact antibiotic coating.\nA total of 42 ACCIN removals were included in this study. Successful ACCIN removal was achieved in 37 cases (88.1%), with debonding in only 5 cases (11.9%). Eight nails (19%) required 1 additional removal procedure, and 3 nails (7.1%) required 2 additional removal procedures. The main reasons for the additional procedures were nonunion and persistent infection.\nACCIN insertion and removal can be challenging. The proper technique of coating and insertion can facilitate later removal. Removal of knee-long fusion rods can be more challenging.\nTherapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.",
    "authors": [
        {
            "affiliation": "International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD; and.\nDepartment of Orthopedics, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.",
            "firstname": "Talal B",
            "initials": "TB",
            "lastname": "Abalkhail"
        },
        {
            "affiliation": "International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD; and.",
            "firstname": "Ahmed H",
            "initials": "AH",
            "lastname": "Elhessy"
        },
        {
            "affiliation": "International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD; and.",
            "firstname": "Janet D",
            "initials": "JD",
            "lastname": "Conway"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2021 Wolters Kluwer Health, Inc. All rights reserved.",
    "doi": "10.1097/BOT.0000000000002287",
    "journal": "Journal of orthopaedic trauma",
    "keywords": [],
    "methods": null,
    "publication_date": "2021-10-16",
    "pubmed_id": "34653105",
    "results": "A total of 42 ACCIN removals were included in this study. Successful ACCIN removal was achieved in 37 cases (88.1%), with debonding in only 5 cases (11.9%). Eight nails (19%) required 1 additional removal procedure, and 3 nails (7.1%) required 2 additional removal procedures. The main reasons for the additional procedures were nonunion and persistent infection.",
    "title": "Removal of Antibiotic Cement-Coated Interlocking Nails.",
    "xml": "<Element 'PubmedArticle' at 0x7885043be110>"
}