Post-traumatic forearm bone defect reconstruction using the induced membrane technique - 30/11/21
, Arthur Seguineau a, Alison Delesque b, Alexandra Erbland a, Edouard Harly a, Paul Lecoanet a, b, Thierry Fabre a, Bertrand Dunet a, b
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Abstract |
Introduction |
The induced membrane technique, first described by Masquelet, is now well standardized, but little studied in post-traumatic forearm bone defect. The main aim of the present study was to analyze consolidation rates in this indication. The study hypothesis was that the induced membrane technique provides good consolidation results.
Methods |
We performed a retrospective assessment of our experience with 10 cases of induced membrane forearm reconstruction. The two main etiologies were acute trauma or treatment for non-union. Functional impact was assessed on range of motion and QuickDASH. The complications rate was also examined.
Results |
There were 3 cases of post-traumatic bone defect, and 7 of non-union treatment, including 6 septic non-unions. Mean defect size was 4.3cm. Mean interval between induced membrane stages 1 and 2 was 3.3 months. Pure cancellous iliac bone graft was systematic. Nine of the patients showed consolidation, at a mean 9.2 months; there was 1 case of non-consolidation, but no other complications. Range of motion was satisfactory; mean QuickDASH score was 22 at a mean 50.3 months’ follow-up.
Conclusion |
The induced membrane technique was reliable, reproducible and technically accessible, with good functional and radiographic results and few complications.
Level of evidence |
IV; retrospective study without control group.
El texto completo de este artículo está disponible en PDF.Keywords : Bone reconstruction, Masquelet technique, Forearm, Post-traumatic, Non-union, Induced membrane
Esquema
Vol 107 - N° 8
Artículo 103036- décembre 2021 Regresar al número
Artículo precedente
- Induced membrane technique applied to the forearm: Technical refinement, indications and results of 13 cases
- Olivier Lauthe, Julien Gaillard, Adeline Cambon-Binder, Alain-Charles Masquelet
- Infected Tibial Nonunion: Assessment of compression distraction Ilizarov technique without debridement
- Mohammed Anter Meselhy, Mahmoud Kandeel, Abd Sameh Halawa, Mohamed Salah Siger
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.