Infected tibia defect fractures treated with the Masquelet technique

Medicine
Julia MühlhäusserFrank J P Beeres

Abstract

The treatment after open and infected fractures with extensive soft tissue damage and bone deficit remains a challenging clinical problem. The technique described by Masquelet, using a temporary cement spacer to induce a membrane combined with reconstructive soft tissue coverage, is a possible solution. This study describes the work-up, operative procedure, complications, and the outcome of a homogenous group of patients with an open and infected tibia fracture and segmental bone loss treated with the Masquelet technique (MT).This retrospective study evaluates patients having sustained an open tibia fracture treated with the MT between 2008 and 2013 with a follow up of at least 1 year. The defect was either primary, caused by a high-grade open fracture or secondary due to a non-union after an open fracture. Prerequisite conditions prior to the procedure of the Masquelet were a defect zone with eradicated infection, an intact soft tissue cover and stability provided by an external fixation.Volume of the defect, time until the implantation of the spacer, time of the spacer in situ and the time to clinical and radiological union were evaluated. Patient records were screened for reoperations and complications. The functional clinic...Continue Reading

References

Dec 6, 2003·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Ph PelissierJ Amedee
Nov 26, 2009·The Orthopedic Clinics of North America·Alain C Masquelet, Thierry Begue
Nov 26, 2009·The Orthopedic Clinics of North America·Todd A McCallTimothy G Weber
Feb 23, 2010·Injury·Alessandro Janson AngeliniWilliam Dias Belangero
Jul 8, 2010·Orthopaedics & Traumatology, Surgery & Research : OTSR·T ApardP Massin
Nov 5, 2011·Physical Therapy·Charles Philip GabelLori A Michener
Jan 17, 2012·Orthopaedics & Traumatology, Surgery & Research : OTSR·C KargerUNKNOWN French Society of Orthopaedic Surgery and Traumatology (SoFCOT)
Apr 5, 2013·The Journal of Bone and Joint Surgery. American Volume·Olli-Matti AhoHannu-Ville Leskelä
Apr 24, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·F AccadbledR Kohler
Jan 17, 2014·Journal of Children's Orthopaedics·Stéphanie PannierChristophe Glorion
Nov 2, 2014·Orthopedics·Mathieu Assal, Richard Stern
Apr 16, 2015·Journal of Orthopaedic Trauma·Benjamin C TaylorJoaquin Castaneda
Jan 26, 2016·Indian Journal of Orthopaedics·Barakat Sayed El-Alfy, Ayman M Ali
Apr 29, 2016·Journal of Orthopaedic Trauma·Matheus L AziMauricio Kfuri
Jan 4, 2017·Injury·Ilaria MorelliCarlo L Romanò

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Citations

Nov 28, 2018·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Albert ChengRobert E Guldberg
Sep 13, 2019·Annals of Plastic Surgery·Patrick E Assi, Aviram M Giladi
Aug 28, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Laurent MathieuSylvain Rigal
Nov 24, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Laurent MathieuAlain-Charles Masquelet
Dec 1, 2020·The Bone & Joint Journal·Benjamin FungAaron Nauth
Dec 31, 2019·Injury·Meng MiPeter V Giannoudis
May 8, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Emilie BilichtinLaurent Mathieu

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Methods Mentioned

BETA
biopsy

Software Mentioned

Masquelet

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