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The Journal of Bone & Joint Surgery British Volume
Vol. 89-B, Issue 5 | Pages 708 - 708
1 May 2007
OWENS BD GOSS TP


The Journal of Bone & Joint Surgery British Volume
Vol. 88-B, Issue 11 | Pages 1419 - 1424
1 Nov 2006
Owens BD Goss TP

The floating shoulder is defined as ipsilateral fractures of the midshaft of the clavicle and the neck of the glenoid. This rare injury can be difficult to manage without a thorough understanding of the complex anatomy of the shoulder girdle. Surgical intervention needs to be considered for all of these injuries. While acceptable results can be expected with non-operative management of minimally-displaced fractures, displacement at one or both sites is best managed with surgical reduction and fixation.


The Journal of Bone & Joint Surgery British Volume
Vol. 88-B, Issue 8 | Pages 1102 - 1104
1 Aug 2006
Wenke JC Owens BD Svoboda SJ Brooks DE

The aim of this study was to determine the effectiveness of antibiotic-impregnated implants in the prevention of bone infection. We used a model of contaminated fracture in goats to evaluate four treatment groups: no treatment, hand-made tobramycin-impregnated polymethylmethacrylate beads, commercially-available tobramycin-impregnated calcium sulphate pellets and commercially-available tobramycin-impregnated polymethylmethacrylate beads. Three weeks after intraosseous inoculation with streptomycin-resistant Staphylococcus aureus tissue cultures showed no evidence of infection in any of the antibiotic-treated groups. All of the cultures were positive in the untreated group. These results show that effective local antibiotic delivery can be obtained with both commercially-available products and with hand-made polymethylmethacrylate beads. The calcium sulphate pellets have the advantage of being bioabsorbable, thereby obviating the need for a second procedure to remove them.