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Table 2 Retention and removal criteria

From: Gastrocnemius muscle flap with vancomycin/gentamicin-calcium sulfate and autogenous iliac bone graft for the phase I treatment of localized osteomyelitis after tibial plateau fracture surgery

Retention criteria

Remove the infected lesion completely

Internal fixation does not fail after debridement

The tight fit between the plate and the bone surface or the presence of voids can be eliminated

Soft tissue coverage with good vascularization

Autologous iliac bone is able to adequately fill the dead space

Local application of sustained drug release

A sufficient course of antibiotics should be administered systemically

Removal criteria

Internal fixation fails after debridement

Existence of large void between the plate and the bone surface

Traumatic osteomyelitis with a course of more than 2 months with partial or complete healing of the fracture

Extensive and severe infection

Intramedullary fixation