title: Preliminary results of the induced membrane in upper limb. About 6 cases.
abstract: The aim of this study was to describe the preliminary results after reconstruction of segmental bone defects (SBDs) in the upper limb of six patients. This retrospective study included three men and three women with an average age of 35years (range 18-62years), who had four primary and two secondary SBDs. The average length of the SBD was 4.5 cm (2-10cm). According to the SOFCOT classification, type I (1 case), type II (4 cases) and type III (1 case) defects were identified. The reconstruction involved the humerus in two cases and the forearm bones in four cases. A posterior plaster cast was applied in all patients during the first stage of treatment. Internal fixation was used during the second phrase (five plates, one K-wire). The mean time elapsed between the first and the second stages of treatment was 3 months (2-4 months). At the final follow-up, bone union was obtained in five patients after an average of 4.6 months (4-6 months). The progression was favorable after the first stage of the induced membrane technique. However, two cases of sepsis were observed after the second stage of treatment, one evolving to osteitis that caused graft resorption. The induced membrane technique is a sequential technique used for treating SBDs. It is an alternative method of bone reconstruction in the upper limb.
authors.affiliation: Service orthopédie-traumatologie, CHU de Treichville, boulevard de Marseille, 01 BP V03, Abidjan 01, Ivory Coast. Electronic address: anoumoumichel@yahoo.com.
authors.forename: N M
authors.initials: NM
authors.lastname: Anoumou
authors.affiliation: Service orthopédie-traumatologie, CHU de Treichville, boulevard de Marseille, 01 BP V03, Abidjan 01, Ivory Coast.
authors.forename: M
authors.initials: M
authors.lastname: Traoré
authors.affiliation: Service orthopédie-traumatologie, CHU de Treichville, boulevard de Marseille, 01 BP V03, Abidjan 01, Ivory Coast.
authors.forename: M
authors.initials: M
authors.lastname: Kouamé
authors.affiliation: Service orthopédie-traumatologie, CHU de Treichville, boulevard de Marseille, 01 BP V03, Abidjan 01, Ivory Coast.
authors.forename: A
authors.initials: A
authors.lastname: Yepié
authors.affiliation: Service orthopédie-traumatologie, CHU de Treichville, boulevard de Marseille, 01 BP V03, Abidjan 01, Ivory Coast.
authors.forename: G
authors.initials: G
authors.lastname: Varango
mesh_terms: D000293:Adolescent; D000328:Adult; D050280:Arm Bones / Q000293:injuries* / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D000071556:Cancellous Bone / Q000637:transplantation; D015331:Cohort Studies; D000071538:Cortical Bone / Q000637:transplantation; D003646:Debridement; D005260:Female; D005593:Fracture Fixation, Internal; D005597:Fractures, Open / Q000601:surgery; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D008875:Middle Aged; D010000:Osteitis / Q000601:surgery; D019736:Prostheses and Implants; D012189:Retrospective Studies; D055815:Young Adult
keywords: Induced membrane; Membrane induite; Membre supérieur; Pertes de substance osseuse; Segmental bone defects; Upper limb