Combined application of antibiotic bone cement and bone transport technique in tibial osteomyelitis with bone defect: A case report.
Jie Wang, Bowen Song, Honghao Xu et al.
✦ AI-curated · Sources linked
Case in brief
A 54-year-old male with chronic tibial osteomyelitis and a 6 cm segmental bone defect post-internal fixation underwent a staged surgical approach. The first stage involved radical debridement, implant removal, and antibiotic-loaded bone cement (ALBC) spacer implantation. After 3 months for infection control, the second stage included cement removal, calcium sulfate implantation, and bone transport, ultimately achieving bony union at the docking site.
Diagnostic / clinical pearl
The combination of antibiotic-loaded bone cement and bone transport techniques can effectively manage complex tibial osteomyelitis with significant bone defects.