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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. 5 — FRI after distal tibia fracture (AO.42-A2) admitted to our department with removed implants and external fixation with an anterior soft tissue defect at the tibia (a–c). Due to the broad infection management with debridement of 3 cm at the distal tibia, a Cerament™ G spacer was implanted (d). The swaps were positive for staphylococcus aureus and epidermidis. After eradication, an arthrodesis of the ankle was performed with retrograde nailing (e–g). Finally, a covering of the tibial soft tissue defect was achieved by a latissimus dorsi flap