Fig. 3.

A 64-year-old male suffered an infection of the proximal tibia 15 days after fracture fixation (a-b). A thorough debridement was performed (c). The plates were coated with antibiotic cement, and the bone defect was filled with antibiotic cement spacer (d-f). Because of compromised soft-tissue envelope, soft tissue reconstruction was performed (g). Two months later, the cement was removed from the bone defect through medial approach and the bone defect was filled with iliac bone grafts (h-i). However, the infection recurred 6 months after bone grafting (j). The implants were left in place until cortical bone healed (k-l). Then, the implants were removed and through debridement was performed, the cavity bone defect was filled with bone cement again. No recurrent infection was seen at last follow-up (m-n)