Is Patient Safety Your Highest Priority
Most patients are immunocompromised, and therefore more susceptible to infections.
Exposure to local vancomycin and betadine irrigation of implant-bone interface is impossible post implantation.
Bioavailability of systemic vancomycin at implant-bone interface is low to none, due to delay in host site integration.
Latest evidences have shown occurrence of occult infection, which manifests as hardware loosening or dislodgement, thus requiring a revision surgery.
How Sterile Implants Become Contaminated:
From the patient’s own flora when transferred to the gloves, working surfaces and then to the implants. The quality of air is not pristine; studies have shown bacterial growth inside the sterile field with increase in exposure time.
The following image shows live O.R cultures from pedicle screws:
