458253.fig.001a
(a)
458253.fig.001b
(b)
458253.fig.001c
(c)
458253.fig.001d
(d)
Figure 1: (a) Radiograph of open tibial fracture with segmental bone loss as a result of trauma injury. (b) Radiograph of the damaged tibia after intramedullary nail and internal fixation at the extremities. The defect is filled with cement spacer that had been previously impregnated with antibiotic. (c) Radiograph of the defect after 3 and (d) 4 months. Bone healing never occurred, and the fracture is considered a nonunion. Printed with permission from Dr. Steve Morgan [37].