case_images: PMC6084490_01
case_images: (a,b) Standard X ray of the hand: the black arrow shows the focus of osteomyelitis corresponding to the path of the distal Kirschner wire previously used to treat the Bennett fracture.
case_images: ICRP_A_1489250_F0001_C.jpg
case_images: PMC6084490_01_ICRP_A_1489250_F0001_C.jpg
case_images: F0001
case_images: Standard hand X-ray demonstrated the presence of an area of osteolysis surrounded by osteocondensation at the second metacarpal, indicating a focus of osteomyelitis along the path of the distal pin (Figure 1).
case_images: (a,b) MRI of the hand shows an intraosseous second metacarpal geode and the path of the fistula indicated by the black arrow.
case_images: ICRP_A_1489250_F0002_B.jpg
case_images: PMC6084490_01_ICRP_A_1489250_F0002_B.jpg
case_images: F0002
case_images: It confirmed the diagnosis, revealing the extent of the focus of osteomyelitis, the path of the fistula, and the inflammatory extension into neighboring soft tissues (Figure 2).
case_images: First stage post-operative X- ray control after segmental resection, cement spacer interposition and stabilization with mini external fixator.
case_images: ICRP_A_1489250_F0003_C.jpg
case_images: PMC6084490_01_ICRP_A_1489250_F0003_C.jpg
case_images: F0003
case_images: X ray control three months after the second stage, showing consolidation of the bone graft.
case_images: ICRP_A_1489250_F0004_C.jpg
case_images: PMC6084490_01_ICRP_A_1489250_F0004_C.jpg
case_images: F0004
case_images: Bone healing was observed three months later (Figure 4) with complete disappearance of pain.
case_images: Shows full recovery of hand function.
case_images: ICRP_A_1489250_F0005_C.jpg
case_images: PMC6084490_01_ICRP_A_1489250_F0005_C.jpg
case_images: F0005
case_images: The patient has regained normal use of the hand with a Quick DASH score of 11 and complete mobility (Figure 5).
case_images: (a,b) X- ray at 36-month follow-up shows complete incorporation of the graft with bone corticalization.
case_images: ICRP_A_1489250_F0006_C.jpg
case_images: PMC6084490_01_ICRP_A_1489250_F0006_C.jpg
case_images: F0006
case_images: X-ray of the hand shows incorporation of the graft and evidence of corticalization (Figure 6).