Conversation: The conversation between human and AI assistant.
[|Human|] If puz was found all of a sudden after 3 months of ortopaedic operation ("UNDER SA+EPIDURAL PATIENT UNDERWENT RIGHT TIBIA DEBRIMENT, BONE GRAFTING AND POLLER SCREW INSERTION".), what I need to do? Patient was absolutely careful and no injury occured from his end during the period. He do not have any blood suga issue also.
[|AI|]  The narration of your case is insufficient. Kindly take into account the type and grading of the initial trauma, whether it was open or closed. If you had a debridement performed, it already creates suspicion of infection prior to it. Implantation done at the time of an active infection, will only create a source of recurrent infection. U need a radical debridement, implant free period, Adequate skin cover or skin flaps, and later when there are no signs of active infection including lab test and local tissues conditions, you can go ahead with permanent fixation. Do take into account that once infected, the chances of non-union increase substantially. Take care