Fig. 4

Unstable hardware + bone not healed = remove hardware, temporary stabilize/Ilizarov technique, debridement, soft-tissue coverage, and reconstruction when clean. a Radiographs of primary internal fixation. b The implant was removed and replaced by Ilizarov external fixation with segmental bone transport technique. c After 18 months of treatment, the wound was stable. d Radiograph 18 months after treatment