10 June 2026
: Case report 
Management of an 11-cm Femoral Diaphyseal Defect Secondary to Chronic Osteomyelitis Using the Induced Membrane Technique in a 14-Year-Old Girl: A Case Report
Unusual or unexpected effect of treatment
Maojiang Lyu BE 1*, Xin Guo BC 2, Weiji Wang
CD 2, Xiaofeng Zhang DF 1, Zetao Ma AF 3
DOI: 10.12659/AJCR.952628
Am J Case Rep 2026; 27:e952628
Figure 5 First-stage debridement and temporary reconstruction using an antibiotic-loaded cement spacer(A) Intraoperative view showing chronic osteomyelitis involving the femur. (B) After sequestrectomy and debridement, an approximately 11-cm segmental femoral defect remained. (C) A locked intramedullary nail coated with vancomycin-loaded bone cement was prepared for implantation. (D) Intraoperative image after insertion of the cement-coated intramedullary nail and additional cement spacer into the medullary canal and defect site.