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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 59-B, Issue 2 | Pages 197 - 199
1 May 1977
Hill J Klenerman L Trustey S Blowers R

The diffusion of Fucidin, gentamicin, and clindamycin from acrylic cement was tested in an in vitro system. The activity of Fucidin was very short-lived and only against gram-positive organisms; gentamicin inhibited gram-positive and gram-negative organisms for twenty-two and eleven days respectively; clindamycin had significant action only against gram-positive organisms and retained some activity for fifty-six days. We suggest that the destruction of organisms in the tissues is more likely to be achieved by topical and intravenous administration of antibiotics during the operation than by incorporation of antibiotic in the cement.