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(a) An Ender nail was used as a stabilising core to help removal and avoid breakage. (b–d) The femoral head was constructed from a ball of TCP+Vancomycin paste. PMMA loaded with TCP, gentamicin and vancomycin was used to wrap the rod (e–h) and the ball to form a complete nail. (i,j) Holes were drilled through the PMMA to allow efficient delivery of the TCP+antibiotic core. (Reprinted with permission from Uchiyama et al. [100]).
