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. 2020 Apr 8;48(3):333–344. doi: 10.1007/s15010-020-01418-3

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© The Author(s) 2020

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 4 — FRI after high tibial osteotomy (HTO) from a foreign clinic. Non-union of the osteotomy with multiple bony infarction at the proximal gap (a, b). Multiple bone samples were positive for Propionibacterium acnes. After debridement for infection management, Cerament™ G was inserted, followed by external hybrid fixation (c, d). Due to a good bone consolidation of the FRI (e), a conversion to plate fixation with a variable angle locking plate could be performed 5 months after external fixation (f, g)