Fig. 5.

Day 78 after the injury. Cultures of specimens obtained during previous surgery were negative. Internal fixation was performed with a nail covered with PMMA mixed with antibiotics, and the spacer was changed. Fig. 5-A Preoperative appearance of the soft tissue. Fig. 5-B Intraoperative nail preparation. A chest tube was filled with PMMA mixed with antibiotics. The nail was introduced inside the tube and, after PMMA polymerization, the plastic tube was peeled from the PMMA-coated nail. Fig. 5-C Postoperative radiographs.