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. 2019 Aug 13;17:173–179. doi: 10.1016/j.jor.2019.08.017

Fig. 2.

Fig. 2

Fig. 2

Fig. 2

Fig. 2

Fig. 2

Fig. 2

Fig. 2

a–e: (a) Implant related chronic osteomyelitis of the tibia with sinuses. (b) Tibial shaft non-union in the same patient treated with plate/screws for open fracture; (c) During surgery, infected skin, soft tissues and infected/dead bone were excised; (d) The medullary canal was opened both sides and the remaining cavity was adequately prepared and filled with CERAMENT G; (e) Instability was present (CM stage IV osteomyelitis) and an Ilizarov frame was added to the construct.2f–g: At 8 months post-surgery the tibial non-union has gone on to complete healing and the biocomposite has been replaced by bone and started remodelling.