Masquelet technique : A promising technique for infected & gap non-unions

Vol 35 | Issue 1 | Jan-April 2020 | page: 26-28 | Digvijay Agarwal, Rajesh Maheshwari


Authors: Digvijay Agarwal [1], Rajesh Maheshwari [1]

¹Department of Orthopaedic Surgery, SRHU, Jollygrant  Dehradun, Uttarakhand, India.

Address of Correspondence:
Dr. Ziaul Hoda Shaan,
SRHU, Jollygrant, Dehradun, Uttarakhand,India.

Introduction: Management of bone defects due to trauma, bone infection, congenital defects or extensive excision of malignant tumors is very challenging. The approach is multidisciplinary and patients should be prepared for a long course of multiple surgeries and possible complications.The small size gaps management is easier with cancellous bone graft or non-vascularized bone-grafting. Larger defects require other options like; vascularized bone-grafts, bonetransport, non-vascularized grafts, allografts and fibular grafting. These techniques are associatedwith their morbidity, complications and require expertise. Masquelet technique is a relative new technique used in the management of large bone defects.
Material & Method
We performed masquelet induced membrane technique in 10 patients Out of ten patients two involving infected nonunion tibia were treated with bone grafting and plaster cast application as they had smaller bone defect of less than 5cm size, two patients with infected gap nonunion humerus were treated with intra-medullary interlocking nail and bone grafting. Rest all were treated with bone grafting and locking plate fixation.The average size of the bone defect after debridement was 13 cm (4– 25 cm).
Conclusion- Membrane induced technique given by Masquelet is very effective two staged procedure to treat long bone defects seen in infected non-union, gap non-union seen in fractures with bone loss. No expertise is required

Keywords: Bone graft, Bone gap, Cement spacer, Membrane


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How to Cite this Article: Agarwal D, Maheshwari R | Masquelet technique : A promising technique for infected & gap non-unions | Journal of Bone and Joint Diseases Jan-April 2020; 35(1): 26-28..


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