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Fig. 3 | BMC Musculoskeletal Disorders

Fig. 3

From: Comparison of antibiotic-impregnated bone cement coverage versus vacuum sealing drainage in semi-open bone grafting using for tibial fracture with infected bone and soft tissue defect: a retrospective analysis

Fig. 3

 A: a 32-year-old man underwent open fracture of the left proximal tibia and wound infection after external fixation. B: after two debridements, the bone defect was 8 cm, with 2.5-cm distance between the amputated ends despite of shortening by 5.5 cm. C: X-ray at 2 months semi-open bone grafting and biplanar osteotomy. The proximal bone segment was moved 0.5 cm reversely to compress the bone graft end and the distal segment was lengthened by 6 cm to restore the length of the leg. D/E: preparation and implantation of cancellous bone graft granules from iliac bone mixed with 0.5-g vancomycin. F/G: coverage by bone cement sheet. H: fresh granulation tissue covered the bone graft at 2 months later. I/J: 4 and 6 months after bone grafting, respectively. K: X-ray at 7 months later

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BMC Musculoskeletal Disorders

ISSN: 1471-2474

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