Infected 60 mm Subtrochanteric Bone Defect in Fibrous Dysplasia Lesion

This case is an example of proximal femur pathological fracture in a patient with fibrous dysplasia. The initial fracture was managed with curettage of the lesion, bone grafting, and plate fixation. An infection developed 8 weeks after the initial fixation and was managed with multiple debridement procedures. A bone defect that measured 60 mm was the result of the multiple debridement. The fracture and the defect were addressed with antibiotic-coated intramedullary nail and antibiotic cement spacer. The latter was used as the first surgical step of Masquelet technique. The next stage included spacer removal, exchange of the antibiotic-coated nail, and bone grafting.