PMC7276582_01
(a and b) Initial injury photos demonstrating 90cm x 7cm circumferential soft tissue loss about the right distal tibia. (c) Anteroposterior and lateral radiographs demonstrating segmental bone loss of the right distal tibia.
JOCR-10-58-g001.jpg
PMC7276582_01_JOCR-10-58-g001.jpg
F1
The right tibia fracture was grossly contaminated and had a 90cm x 7cm circumferential soft tissue defect (Fig. 1).
(a) Intraoperative photo of the antibiotic impregnated cement spacer utilized for the induced membrane technique. (b)Anteroposterior and lateral radiographs of the right tibia status post-antibiotic intramedullary nail placement.
JOCR-10-58-g002.jpg
PMC7276582_01_JOCR-10-58-g002.jpg
F2
In addition, an antibiotic intramedullary nail was placed into the right tibia, along with an antibiotic cement spacer into the 4 cm bone void (Fig. 2).
(a and b) Clinical photographs at 24-month post-operative demonstrating healthy flap. (c) Anteroposterior and lateral radiographs of the right tibia at 24-month post-operative demonstrating well-healed fracture.
JOCR-10-58-g003.jpg
PMC7276582_01_JOCR-10-58-g003.jpg
F3
At 2 years, her knee flexion contracture resolved and she was able to run short distances (Fig. 3).