Use of antibiotic-coated nail followed by Limb Reconstruction System to manage infected nonunion of tibia shaft fractures: Case report and review of literature

Background: Management of infected nonunion of tibia shaft fractures presents a significant challenge in orthopedic surgery. This condition requires a multifaceted approach to eradicate infection, stabilize the fracture, and promote bone healing. Case Presentation: This report presents a case where an antibiotic-coated nail, followed by a Limb Reconstruction System (LRS), was used to successfully manage an infected nonunion of a tibial shaft fracture. The patient, a 35-year-old male, presented with a persistent infection and nonunion following a tibial shaft fracture. Initial treatment with debridement and insertion of an antibiotic-coated nail was employed to control the infection. Subsequently, the fracture was stabilized and bone healing was promoted using an LRS. Conclusion: The use of an antibiotic-coated nail followed by an LRS is an effective strategy for managing infected nonunion of tibial shaft fractures. This approach aligns with current clinical practices and provides a viable option for orthopedic surgeons facing similar complex cases. A detailed review of the literature supports the efficacy of this combined treatment protocol in achieving favorable outcomes.