Implant-Related Infection in the Tibia: Surgical Revision Strategy with Vancomycin Cement

Figure 2

A 35-year-old male with a proximal diaphyseal fracture had received a plate fixation and later was removed due to IRI (a). A sinus existed in the proximal tibia and the bone was exposed (b). During the debridement, all the dead bones were removed (c). The wound was closed with the medial gastrocnemius flap and vancomycin cement rod in site (d). Two months later, the wound healed (e). At two-year follow-up, the wound and the bone healed well. The patient could walk normally ((f), (g)).

(a)

(b)

(c)

(d)

(e)

(f)

(g)