title: Masquelet technique for the treatment of a severe acute tibial bone loss.
abstract: The "induced membrane" technique described by Masquelet has been used successfully for many years for posttraumatic bone defect reconstruction, non-unions and osteomyelitis. The main advantages are the two-step surgical procedure that in case of primary infection allows repeated debridement if necessary, in case of internal fixation early weight bearing with decreased malalignment risk and it has a short learning curve. A theoretical application of this procedure is the management of acute severe traumatic bone loss of the limbs despite the lack of this experience in literature. We report on a Gustilo IIIB meta-epiphyseal fracture (AO 43-C3) of the leg with a 6 cm in length bone loss that was treated with the Masquelet technique.
authors.affiliation: Orthopaedics and Traumatology, Department of Biotechnology and Life Sciences (DBSV), University of Insubria, Varese, Italy. Electronic address: mario.ronga@uninsubria.it.
authors.forename: Mario
authors.initials: M
authors.lastname: Ronga
authors.affiliation: Orthopaedics and Traumatology, Department of Biotechnology and Life Sciences (DBSV), University of Insubria, Varese, Italy.
authors.forename: Sergio
authors.initials: S
authors.lastname: Ferraro
authors.affiliation: Orthopaedics and Traumatology, Department of Biotechnology and Life Sciences (DBSV), University of Insubria, Varese, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Fagetti
authors.affiliation: Plastic Surgery, Department of Biotechnology and Life Sciences (DBSV), University of Insubria, Varese, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Cherubino
authors.affiliation: Plastic Surgery, Department of Biotechnology and Life Sciences (DBSV), University of Insubria, Varese, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Valdatta
authors.affiliation: Orthopaedics and Traumatology, Department of Biotechnology and Life Sciences (DBSV), University of Insubria, Varese, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Cherubino
mesh_terms: D000900:Anti-Bacterial Agents; D016025:Bone Transplantation / Q000379:methods; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D017102:Fracture Healing; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000517:prevention & control*; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D016474:Weight-Bearing
chemical_list: D000900:Anti-Bacterial Agents
keywords: Bone defect; Bone reconstruction; Induced membrane; Masquelet technique; Open fracture