Internal fixation of delayed union of fracture with chronic osteomyelitis due to Staphylococcus epidermidis: A case report

INTRODUCTION: The most feared and challenging complication in treating patients with musculoskeletal trauma is infection after fracture fixation, which can delay healing and, in turn, result in permanent functional loss of limbs or even amputation. CASE PRESENTATION: Here, we describe a case in which a patient presented with stage 4 chronic osteomyelitis on the right tibia and fibula. To treat the late infection by eradicating or reducing the infection, it was recommended to replace the internal fixation with surgical debridement for 6 weeks and antibiotics for 6–12 weeks until the internal fixation device could be removed. CONCLUSION: Delayed union and chronic osteomyelitis are possible complications of IAFF.