title: Tibial segmental bone defect reconstruction by Ilizarov type bone transport in an induced membrane.
abstract: 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 10 cm 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.
authors.affiliation: Orthopedics and Traumatology Department, Pointe-à-Pitre Regional Teaching Hospital, route de Chauvel, 97159 Pointe-à-Pitre cedex, Guadeloupe. uzel@wanadoo.fr
authors.forename: A-P
authors.initials: AP
authors.lastname: Uzel
authors.forename: F
authors.initials: F
authors.lastname: Lemonne
authors.forename: V
authors.initials: V
authors.lastname: Casoli
mesh_terms: D000328:Adult; D003646:Debridement; D016267:External Fixators; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D018889:Ilizarov Technique; D008297:Male; D008567:Membranes, Artificial; D019637:Orthopedic Procedures / Q000379:methods*; D013978:Tibial Fractures / Q000601:surgery*
chemical_list: D008567:Membranes, Artificial