Figure 4.

Clinical case #4: man, 44 years old. FRI of the proximal tibia following a car accident polytrauma (a), treated with a biological chamber technique by first removing synthesis media and infected tissue, positioning the antibiotic loaded bone cement with gentamicin and vancomycin, stabilising with an external fixator (b) and subsequently reconstructing with contralateral fibula grafting, RIA bone grafting, osteosynthesis with plate and screws coated with 10 mL of DAC gel with vancomycin and gentamicin. Check-up at 4 months without clinical and laboratory signs of infection and initial signs of infection site healing (c).