Management of Infected Tibial Nonunion: Combining Synthetic Bone Grafting with Continuous Local Antibiotic Perfusion (CLAP)

Kenichi Sawauchi; Tomoaki Fukui; Keisuke Oe; Ryosuke Kuroda; Takahiro Niikura; Hirotsugu Muratsu; Akihiro Maruo

doi:10.12659/AJCR.945023

13 September 2024 : Case report Japan

Management of Infected Tibial Nonunion: Combining Synthetic Bone Grafting with Continuous Local Antibiotic Perfusion (CLAP)

Unusual or unexpected effect of treatment

Kenichi Sawauchi

^1BDEF, Tomoaki Fukui

^1BE, Keisuke Oe^1B, Ryosuke Kuroda^1E, Takahiro Niikura

^12B, Hirotsugu Muratsu^3B, Akihiro Maruo^3ABCDEF*

DOI: 10.12659/AJCR.945023

Am J Case Rep 2024; 25:e945023

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Figure 2. (A) Photographs 15 months after osteosynthesis using an intramedullary nail. The patient began exhibiting skin defects and draining of pus proximal to the wound. (B) Radiographs and computed tomography scans 27 months after the first surgery. The fracture was not united, and bone defects were observed at the anterior and medial parts of the fracture site.

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Management of Infected Tibial Nonunion: Combining Synthetic Bone Grafting with Continuous Local Antibiotic Perfusion (CLAP)

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