case_images: PMC7276582_01
case_images: (a and b) Initial injury photos demonstrating 90cm x 7cm circumferential soft tissue loss about the right distal tibia. (c) Anteroposterior and lateral radiographs demonstrating segmental bone loss of the right distal tibia.
case_images: JOCR-10-58-g001.jpg
case_images: PMC7276582_01_JOCR-10-58-g001.jpg
case_images: F1
case_images: The right tibia fracture was grossly contaminated and had a 90cm x 7cm circumferential soft tissue defect (Fig. 1).
case_images: (a) Intraoperative photo of the antibiotic impregnated cement spacer utilized for the induced membrane technique. (b)Anteroposterior and lateral radiographs of the right tibia status post-antibiotic intramedullary nail placement.
case_images: JOCR-10-58-g002.jpg
case_images: PMC7276582_01_JOCR-10-58-g002.jpg
case_images: F2
case_images: In addition, an antibiotic intramedullary nail was placed into the right tibia, along with an antibiotic cement spacer into the 4 cm bone void (Fig. 2).
case_images: (a and b) Clinical photographs at 24-month post-operative demonstrating healthy flap. (c) Anteroposterior and lateral radiographs of the right tibia at 24-month post-operative demonstrating well-healed fracture.
case_images: JOCR-10-58-g003.jpg
case_images: PMC7276582_01_JOCR-10-58-g003.jpg
case_images: F3
case_images: At 2 years, her knee flexion contracture resolved and she was able to run short distances (Fig. 3).