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The 35-year-old patient was treated by the ACSLHT technique. a A large defects in the middle of tibia could be seen without infection, b and c an antibiotic-loaded calcium sulfate cement spacer was made during operation; d the spacer was implanted into the tibial defect area, e and f X-rays after an intramedullary nail and Ilizarov external fixator implantation. ACSLHT stands for antibiotic calcium sulfate-loaded hybrid transport
