Articles | Volume 10, issue 4
https://doi.org/10.5194/jbji-10-327-2025
https://doi.org/10.5194/jbji-10-327-2025
Original full-length article
 | 
29 Aug 2025
Original full-length article |  | 29 Aug 2025

CarboCell G/C offers high and prolonged concentrations of gentamicin and clindamycin in bone tissue following intraosseous injection

Mads Kristian Duborg Mikkelsen, Andrea René Jørgensen, Niranjan G. Kotla, Maiken Stilling, Maria Bech Damsgaard, Christoph Crocoll, Michal Poborsky, Hans Christian Rasmussen, Jonas Rosager Henriksen, Anders Elias Hansen, and Mats Bue

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Cited articles

Buchholz, H. W., Elson, R. A., and Heinert, K.: Antibiotic-loaded acrylic cement: current concepts, Clin. Orthop. Relat. Res., 190, 96–108, 1984. 
Bue, M., Hanberg, P., Koch, J., Jensen, L. K., Lundorff, M., Aalbaek, B., Jensen, H. E., Søballe, K., and Tøttrup, M.: Single-dose bone pharmacokinetics of vancomycin in a porcine implant-associated osteomyelitis model, J. Orthop. Res., 36, 1093–1098, https://doi.org/10.1002/jor.23776, 2018. 
Dudareva, M., Kümin, M., Vach, W., Kaier, K., Ferguson, J., McNally, M., and Scarborough, M.: Short or Long Antibiotic Regimes in Orthopaedics (SOLARIO): a randomised controlled open-label non-inferiority trial of duration of systemic antibiotics in adults with orthopaedic infection treated operatively with local antibiotic therapy, Trials, 20, 693, https://doi.org/10.1186/s13063-019-3832-3, 2019. 
Ensing, G. T., van Horn, J. R., van der Mei, H. C., Busscher, H. J., and Neut, D.: Copal bone cement is more effective in preventing biofilm formation than Palacos R-G, Clin. Orthop. Relat. Res., 466, 1492–1498, https://doi.org/10.1007/s11999-008-0203-x, 2008. 
EUCAST: Data from the EUCAST MIC distribution website, https://mic.eucast.org, last access: 14 April 2025. 
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Short summary
In recent decades, there has been a growing emphasis on the use of local antibiotics in orthopaedic surgery, but development of new technologies has been limited. In this study we observe that a 1.5 mL injection of the novel technology CarboCell G/C into the bone provides very high levels of the antibiotics gentamicin and clindamycin in bones, with almost no spill to the bloodstream. These findings bolster the prospect of new and improved technologies for combatting orthopaedic infections.
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