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 4. (A) Photograph during the surgery, using continuous local antibiotic perfusion (CLAP). There were 2 intramedullary-antibiotic perfusion (iMAP) pins and an intra-soft tissue antibiotic perfusion (iSAP) tube. Beta-tricalcium phosphate (β-TCP) was transplanted to the bone defect. (B) Radiograph after the CLAP surgery shows that iMAP pins were placed at the proximal anterior and distal anterior tibia and an iSAP tube was placed in the subcutaneous pocket.

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

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