Tibial segmental bone defect reconstruction by Ilizarov type bone transport in an induced membrane - 21/04/10
, F. Lemonne a, V. Casoli b
Corresponding author. Tel.: +(00-33)-5 90 89 10 10, Ext. 3461, fax: +(00-33) -5 90 89 17 44. Cell-phone: (00-33) -690575564.
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Summary |
The management of combined loss of skin coverage and bone substance in the lower third of the leg is problematic. A recommended sequential strategy associates removal of infected tissue and coverage followed by treatment of the bone defect. We report a technique without microsurgery, using Masquelet’s induced membrane technique to manage the bone loss, associated to bone transport and coverage by a fasciocutaneous flap with distal pedicle. In a patient presenting with a 10cm defect with bone exposure, this 2-step procedure allowed consolidation at 7 months without functional sequelae; the fixator was kept in place for 9 months. Neither microsurgery nor cancellous bone graft was required. Using a spacer to induce a membrane facilitated bone transport and distal consolidation.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Open fracture, Bone defect, Fasciocutaneous flap, Bone transport, Induced membrane
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Vol 96 - N° 2
P. 194-198 - aprile 2010 Ritorno al numero
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