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2021, Number 2

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Acta Med 2021; 19 (2)

Masquelet technique in atrophic nonunion of tibia with chronic osteomyelitis, its description

De SMFA, Ceballos SJA, Hernández FE, Sierra PM, Herrera CZV
Full text How to cite this article 10.35366/100456

DOI

DOI: 10.35366/100456
URL: https://dx.doi.org/10.35366/100456

Language: Spanish
References: 12
Page: 280-284
PDF size: 208.29 Kb.


Key words:

Masquelet, pseudoarthrosis, osteomyelitis, induced, membranes.

ABSTRACT

The membrane induction technique or Masquelet technique has been developed in recent years for the treatment of either traumatic or infectious bone defects with adequate soft tissue coverage, by means of a procedure divided in two phases, where the creation of membranes is stimulated with surgical cement in the focus of non-union or bone loss with subsequent graft placement, a case is presented where the technique described above is performed with good functional results in the treatment of an atrophic non-union with osteomyelitis in a patient with a fractured diaphyseal tibia.


REFERENCES

  1. Azi ML, de Almeida Teixeira AA, Cotias RB, Joeris A, Kfuri M. Induced-membrane technique in the management of posttraumatic bone defects. JBJS Essential Surgical Techniques. 2019; 9 (2): e22. Available in: https://doi.org/10.2106/jbjs.st.18.00099

  2. Masquelet AC. Muscle reconstruction in reconstructive surgery: soft tissue repair and long bone reconstruction. Langenbeck's Arch Sur. 2003; 388 (5): 344-346. Available in: https://doi.org/10.1007/s00423-003-0379-1

  3. Verboket RD, Leiblein M, Janko M, Schaible A, Brune JC, Schroder K et al. From two stages to one: acceleration of the induced membrane (Masquelet) technique using human acellular dermis for the treatment of non-infectious large bone defects. European Journal of Trauma and Emergency Surgery. 2020; 46: 317-327. EJTES. Available in: https://doi.org/10.1007/s00068-019-01296-x

  4. Azi, Matheus L, Teixeira AA de A, Cotias RB, Joeris A, Kfuri M, Jr. Membrane induced osteogenesis in the management of posttraumatic bone defects. J Orthop Trauma. 2016; 30 (10): 545-550. Available in: https://doi.org/10.1097/bot.0000000000000614

  5. Hatashita S, Kawakami R, Ejiri S, Sasaki N, Toshiki N, Ito M et al. Acute Masquelet technique' for reconstructing bone defects of an open lower limb fracture. Eur J Trauma Emerg Surg. 2020. Available in: https://doi.org/10.1007/s00068-019-01291-2

  6. Mi M, Papakostidis C, Wu X, Giannoudis PV. Mixed results with the Masquelet technique: a fact or a myth? Injury. 2020; 51 (2): 132-135. Available in: https://doi.org/10.1016/j.injury.2019.12.032

  7. Roddy E, DeBaun MR, Daoud-Gray A, Yang YP, Gardner MJ. Treatment of critical-sized bone defects: clinical and tissue engineering perspectives. Eur J Orthop Surg Traumatol. 2018; 28 (3): 351-362. Available in: https://doi.org/10.1007/s00590-017-2063-0

  8. Liu S, Tao S, Tan J, Hu X, Liu H, Li Z. Long-term follow-up of fibular graft for the reconstruction of bone defects. Medicine. 2018; 97 (40): e12605. Available in: https://doi.org/10.1097/md.0000000000012605

  9. Mathieu L, Bilichtin E, Durand M, de l'Escalopier N, Murison JC, Collombet JM et al. Masquelet technique for open tibia fractures in a military setting. Eur J Trauma Emerg Surg. 2020; 46 (5): 1099-1105. Available in: https://doi.org/10.1007/s00068-019-01217-y

  10. Morwood MP, Streufert BD, Bauer A, Olinger C, Tobey D, Beebe M et al. Intramedullary nails yield superior results compared with plate fixation when using the masquelet technique in the femur and tibia. J Orthop Trauma. 2019; 33 (11): 547-552. Available in: https://doi.org/10.1097/bot.0000000000001579

  11. Raven TF, Moghaddam A, Ermisch C, Westhauser F, Heller R, Bruckner T et al. Use of Masquelet technique in treatment of septic and atrophic fracture nonunion. Injury. 2019; 50 (3): 40-54. Available in: https://doi.org/10.1016/j.injury.2019.06.018

  12. Morelli I, Drago L, George DA, Gallazzi E, Scarponi S, Romano CL. Masquelet technique: myth or reality? A systematic review and meta-analysis. Injury. 2016; 47 (6): S68-S76. Available in: https://doi.org/10.1016/s0020-1383(16)30842-7




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Acta Med. 2021;19