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. 2021 Jun 23;22:573. doi: 10.1186/s12891-021-04430-2

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© The Author(s) 2021

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/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 1 — A male patient with left tibia fracture caused by traffic accident and post-traumatic osteomyelitis after plate internal fixation.(A). X-ray film at 12 months after removal of the internal fixator showing tibia osteomyelitis; (B). Anteroposterior X-ray films on the day after radical debridement and installation of external fixation; (C) Anteroposterior X-ray films at 119 days after operation, showing bone contact was reached; (D). Lateral X-ray films at 11.5 months after operation shows good regenerate consolidation,and bone grafting at the docking site.(E). After 9 months removed external fixation, infection recurrence were located in the distraction region .The patient suffered refracture at the docking site at the same time, which were treated with debridement, antibiotic cement and extenal fixation.(F,G) Function recovery at 19 months after removal of external fixator