L. Bunetel et al., OSSEOUS CONCENTRATIONS OF GENTAMICIN AFTER IMPLANTATION OF ACRYLIC BONE-CEMENT IN SHEEP FEMORA, European journal of drug metabolism and pharmacokinetics, 19(2), 1994, pp. 99-105
17 sheep received femoral implantation of 'Cerafix Genta', containing
gentamicin 0.6 or 1.2 g per dose either unilaterally (first 3 sheep) o
r bilaterally (remaining 14 sheep). Highest concentrations in bone wer
e measured after 24 and 48 post-operative hours (respectively 36 and 7
2 mg/kg for Cerafix 0.6 g and 1.2 g). Gentamicin concentrations in ban
e marrow and femoral heads were in the same range. Blood and urine con
centrations of gentamicin measured in sheep were comparable to those o
btained in man. An extrapolation of the gentamicin behaviour from shee
p to humans, might be possible: the sheep weight and femoral dimension
s were comparable to those of humans and the method of implantation wa
s similar in man and animal. For up to 18 months after operation, gent
amicin levels in bone were always higher than critical concentration (
4 mg/kg). For the early post-operative period, blood and urine levels
always remained below gentamicin toxic concentrations.