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 3. Photographs taken during surgery. (A) The fistula communicated with the bone defect through the subcutaneous pocket, with pus and infectious tissue filling the bone defect. (B) The bone defect measured 2.5×1 cm, mainly in the anterior and medial aspects of the distal tibia.

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

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