PMC7425659_01
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.
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Fifteen months after the augmentation of the LCP with Cerament G the tibia healed (Figure 1D), the patient is fully weight-bearing without pain.
PMC7425659_02
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.
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Before insertion, the nail was augmented with Cerament V (Figure 2B) and the medullary canal was filled up with the remaining amount of Cerament V using an extension tube. A total of 10 milliliters of Cerament V was utilized (Figure 2A). After 22 months a complete bone healing was achieved (Figure 2C).
PMC7425659_03
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.
TCRM-16-689-g0001.jpg
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Fifteen months after the augmentation of the LCP with Cerament G the tibia healed (Figure 1D), the patient is fully weight-bearing without pain.
: (A) + (B) Removal of the loosened humeral nail; (C) Implantation of a cement spacer.
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In the first step, we removed the osteosynthesis and implanted a gentamicin and vancomycin loaded cement spacer (Figure 3).
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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DePuy) seven weeks later. During the operation the medullary canal was filled with Cerament V using an extension tube (Figure 4A). In addition, the stem of the prosthesis was augmented (Figure 4B) and thereafter the prosthesis stem was press-fit inserted. Therefore, at 2 months a proximal enlargement of the stem with an augment was done (Figure 4C). No radiological signs of loosening were detected (Figure 4D).