Surgical technique and indications of the induced membrane procedure in children

Orthopaedics & Traumatology, Surgery & Research : OTSR
Richard Gouron

Abstract

The induced membrane technique is now quite adaptable to segmental bone reconstruction in children. This technique is much the same as the technique used in adults. A cement spacer is interposed, and in a second operating phase, occurring 6 weeks after the interposition of the spacer, the cement is removed and a morselized corticocancellous graft is installed in the induced membrane that had formed around the cement. Graft expansion using allograft chips should not exceed 30% of the total volume. An additional autograft strut is useful in the reconstruction of long femoral or metaphyseal-diaphyseal tibial defects. Despite the apparent simplicity of this technique, it requires rigorous technique during cement sleeving and to stabilize the defect to prevent nonunion, stabilization device loosening, or resorption of the graft, the main complications. This technique is now becoming the gold standard for bone reconstruction in trauma and septic bone surgery. In pediatrics, the Masquelet technique is now mainly used in the context of cancer surgery reconstructions. Constraints related to chemotherapy have led to deferral of the graft, which is therefore empirically performed 8 weeks after the last course of chemotherapy. Congenital a...Continue Reading

References

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Citations

Oct 19, 2016·Annales de chirurgie plastique et esthétique·F DuteilleP Perrot
Aug 21, 2013·International Journal of Pediatric Otorhinolaryngology·Ji Seon BaeYong Ju Jang
Feb 6, 2017·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Tomohiko MotekiKenichi Saito
Feb 16, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Barakat El-AlfyWail Lotfy Abdelnaby
Feb 10, 2018·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Sarah McBride-GagyiDaemeon Nicolaou
Jul 27, 2017·Der Orthopäde·F Saxer, H Eckardt
Jul 20, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Florelle GindrauxIsabelle Pluvy
Jul 17, 2020·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Omar RamosRoman A Hayda
Jul 6, 2020·Journal of Tissue Engineering and Regenerative Medicine·Céline KleinRomuald Mentaverri
Jan 1, 2021·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Andrea I AlfordSarah McBride-Gagyi
Jul 23, 2021·Orthopedics·Jan Lesenský, Andreas F Mavrogenis
Jul 22, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Philip K McClureJanet D Conway
Sep 9, 2021·Zeitschrift für Orthopädie und Unfallchirurgie·Hong XiaoZhao Xie

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