Table 5.

Cases with recurrent infection.

Patient	Site	Cierny-Mader Staging	Aetiology/Infected Metalwork	Initial Treatment	Initial Microbiology	Revision Treatment
1	Tibia	III A	Open fracture with IM Nail	Excision, 25 cc Cerament G, free flap and Ilizarov	E. Coli	Successful revision: excision 20 cc Cerament G
2	Tibia	III B	Open fracture with ORIF	Excision, 30 cc Cerament G, free flap and Ilizarov	Resistant MRSA, Klebsiella spp	Suppressive antibiotic therapy
3	Tibia	III B	IM Nail for open fracture	Excision, 20 cc Cerament G, local flap and Ilizarov	MSSA, Pseudomonas spp	Revision excision 15 cc Cerament G, failure and BKA
4	Tibia	III B	IM Nail for open fracture	Excision, 20 cc Cerament G, free flap and Ilizarov	Resistant MSSA, Proteus spp,	Soft tissue debridement

IM Nail: Intramedullary Nail; ORIF: Open Reduction and Internal Fixation.