title: [Chronic inflammation 30 years after tibial intramedullary nailing--foreign body reaction or bacterial infection?].
abstract: 30 years after two-fold marrow nailing of the tibia due to the formation of a pseudarthrosis and timely removal of the implants in a miner who was 17 years of age at that time, we found a chronic irritation that required surgical therapy. After excision of a two inch long sequester and escape of a small and cheesy core without identification of germs the patient is symptom-free since one and a half year. A foreign-body reaction to corrosion products of the implant or a late infection with low-virulent germs of the bradytrophic medullary callus appears to be the underlying cause.
authors.affiliation: Chirurgische Klinik und Poliklinik, Universitätsklinikum Rudolf Virchow.
authors.forename: O
authors.initials: O
authors.lastname: Grauhan
authors.forename: J
authors.initials: J
authors.lastname: Hierholzer
authors.forename: A
authors.initials: A
authors.lastname: Speitling
authors.forename: H H
authors.initials: HH
authors.lastname: Schauwecker
authors.forename: P
authors.initials: P
authors.lastname: Neuhaus
mesh_terms: D001424:Bacterial Infections / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005549:Foreign-Body Reaction / Q000209:etiology* / Q000601:surgery; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D013978:Tibial Fractures / Q000601:surgery*
vernacular_title: Chronische Entzündung 30 Jahre nach Tibiamarknagelung--Fremdkörperreaktion oder bakterielle Infektion?