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Management of twenty centimeter segmental bone defect of femoral shaft secondary to infected non-union of fracture using masquelet technique: A case report

INTRODUCTION: Segmental bone loss is a challenging condition to manage, and some of the techniques employed are difficult for patients to tolerate and involve lengthy treatment and rehabilitation times. The Masquelet technique is a two-stage bone grafting technique used to treat segmental bone defec...

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Autores principales: Kubes, Kyle, Friedman, Alex, Pyle, Casey, Diaz, Graal, Hargett, Damayea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8219760/
https://www.ncbi.nlm.nih.gov/pubmed/34139426
http://dx.doi.org/10.1016/j.ijscr.2021.106107
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author Kubes, Kyle
Friedman, Alex
Pyle, Casey
Diaz, Graal
Hargett, Damayea
author_facet Kubes, Kyle
Friedman, Alex
Pyle, Casey
Diaz, Graal
Hargett, Damayea
author_sort Kubes, Kyle
collection PubMed
description INTRODUCTION: Segmental bone loss is a challenging condition to manage, and some of the techniques employed are difficult for patients to tolerate and involve lengthy treatment and rehabilitation times. The Masquelet technique is a two-stage bone grafting technique used to treat segmental bone defects. The technique has primarily been described for bone defects averaging 5.5 cm in length. This technique's advantages include protection against autograft resorption, relative maintenance of graft position, and prevention of soft-tissue interposition. We present a case report of a male who achieved successful bone defect union utilizing the Masquelet technique for a right femoral shaft infected non-union with a resultant 20 cm bone defect. CASE REPORT: This is a case report of a 28-year old male who presented to our clinic for evaluation and treatment for a segmental bone defect secondary to a right femur fracture with non-union after infection. The patient had been in a motor vehicle collision. Our patient was interested in limb salvage surgery and declined bone transport. Given the significant size of his defect, we opted to treat him utilizing the Masquelet technique. He went on to have a successful union of his defect with associated increased subjective quality of life and functionality. CONCLUSION: The Masquelet technique is a useful limb salvage treatment for patients with segmental bone defects, including large defects of 20 cm in length.
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spelling pubmed-82197602021-06-28 Management of twenty centimeter segmental bone defect of femoral shaft secondary to infected non-union of fracture using masquelet technique: A case report Kubes, Kyle Friedman, Alex Pyle, Casey Diaz, Graal Hargett, Damayea Int J Surg Case Rep Case Report INTRODUCTION: Segmental bone loss is a challenging condition to manage, and some of the techniques employed are difficult for patients to tolerate and involve lengthy treatment and rehabilitation times. The Masquelet technique is a two-stage bone grafting technique used to treat segmental bone defects. The technique has primarily been described for bone defects averaging 5.5 cm in length. This technique's advantages include protection against autograft resorption, relative maintenance of graft position, and prevention of soft-tissue interposition. We present a case report of a male who achieved successful bone defect union utilizing the Masquelet technique for a right femoral shaft infected non-union with a resultant 20 cm bone defect. CASE REPORT: This is a case report of a 28-year old male who presented to our clinic for evaluation and treatment for a segmental bone defect secondary to a right femur fracture with non-union after infection. The patient had been in a motor vehicle collision. Our patient was interested in limb salvage surgery and declined bone transport. Given the significant size of his defect, we opted to treat him utilizing the Masquelet technique. He went on to have a successful union of his defect with associated increased subjective quality of life and functionality. CONCLUSION: The Masquelet technique is a useful limb salvage treatment for patients with segmental bone defects, including large defects of 20 cm in length. Elsevier 2021-06-10 /pmc/articles/PMC8219760/ /pubmed/34139426 http://dx.doi.org/10.1016/j.ijscr.2021.106107 Text en © 2021 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Kubes, Kyle
Friedman, Alex
Pyle, Casey
Diaz, Graal
Hargett, Damayea
Management of twenty centimeter segmental bone defect of femoral shaft secondary to infected non-union of fracture using masquelet technique: A case report
title Management of twenty centimeter segmental bone defect of femoral shaft secondary to infected non-union of fracture using masquelet technique: A case report
title_full Management of twenty centimeter segmental bone defect of femoral shaft secondary to infected non-union of fracture using masquelet technique: A case report
title_fullStr Management of twenty centimeter segmental bone defect of femoral shaft secondary to infected non-union of fracture using masquelet technique: A case report
title_full_unstemmed Management of twenty centimeter segmental bone defect of femoral shaft secondary to infected non-union of fracture using masquelet technique: A case report
title_short Management of twenty centimeter segmental bone defect of femoral shaft secondary to infected non-union of fracture using masquelet technique: A case report
title_sort management of twenty centimeter segmental bone defect of femoral shaft secondary to infected non-union of fracture using masquelet technique: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8219760/
https://www.ncbi.nlm.nih.gov/pubmed/34139426
http://dx.doi.org/10.1016/j.ijscr.2021.106107
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