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Deformity correction in the setting of osteomyelitis is a challenge for any orthopaedic surgeon. Principles of management are well described and include staged debridement, stable fixation and a combination of local and systemic antibiotic therapy. An antibiotic-coated nail (ACN) can prove a useful tool—stabilizing bone, whilst allowing for local antibiotic elution. Typically, the surgeon will prepare these implants in the operating room using materials that are routinely at hand. Most frequently, this will involve the use of antibiotic-loaded poly-methyl methacrylate (PMMA). This method of ACN fabrication has several disadvantages. PMMA is non-degradable and can be difficult to remove surgically. There are limitations with regard to antibiotic suitability, antibiotic release as well as toxicity effects. In this case report, we present a novel technique for the preparation of ACNs for use in hindfoot surgery, using a calcium sulphate/hydroxyapatite-based bio-composite—Cerament-V.

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in-hospital care in these two countries and emphasised the role of various factors that influences the post injury mortality rate. RESULTS: In the UK, the number of RTA injuries recorded in 2000 was 320,000. This decreased by 41.8% to 186,189 in 2015. The number of RTA associated deaths recorded in the UK in 2000 was 3409, decreased by 49.2% to 1730 in 2015. The establishment of trauma networks contributed to significant reduction in mortality in the UK. In India, the number of RTA injuries recorded in 2000 was 399,265 and this increased by 20.8% in 2015 to 482,389. However the number of RTA associated deaths in India increased exponentially by 88.5% from 78,911 in 2000 to 148,707 in 2015. CONCLUSION: Our study revealed the exponential increase in mortality rate when compared to the number of injuries and highlighted the need for improving pre-hospital and in-hospital care India. The lessons learnt from the UK, especially with setting up of trauma networks, focussed training and establishment of major trauma centres, could bring a significant improvement in the survival rate of this young productive population in India. Though there is a long way to achieve the target set by 'Brazilia Declaration', India being a signatory has an obligation to its citizens and the world to reach the target.