The CT gap sign, a case of failure to seat the polythene component in total ankle replacement (infinity).

We present a case of incorrect seating of the polyethylene liner in an INFINITY total ankle replacement causing discomfort and eventually leading to a revision ankle replacement. This malposition of the implant was observed on a computed tomography (CT) scan as a 'gap' between the liner and the body of the replacement. The patient complained of discomfort on walking postoperatively, which limited activity.

Adjuvant Local Antibiotic Hydroxyapatite Bio-Composite in the management of open Gustilo Anderson IIIB fractures. .

Background: This study aims to evaluate outcomes of using Adjuvant Local Antibiotic Hydroxyapatite Bio-Composite in management of Open Gustilo-Anderson IIIB Fractures.

Methods And Results: 80 patients were managed with single-stage "Fix and Flap" along with intra-operative Adjuvant Local Antibiotic Bio-Composite. Successful fracture union was achieved in 96.

Management of Pyogenic Spinal Infection, review of literature.

Objective: To evaluate the available evidence for the management of Pyogenic Spinal Infection (PSI).

Methods And Results: A comprehensive search for the relevant literature published between 1990 and 2018 to evaluate the management of PSI was conducted.Nonoperative management of carefully selected patients for an adequate duration of antibiotics can result in satisfactory outcomes with low recurrence rate.