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Management of Segmental Bone Defects Using Masquelet Technique

Somnath De* , Somnath De* , Nikhilesh Das* , Sudipto Mukherjee* , Sabyasachi Bardhan*

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Indian Journal of Emergency Medicine 2(2):p 105-108, July - December 2016. | DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.2216.3

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Abstract

 Background: Surgical reconstruction of segmental skeletal defects represents a true challenge for the orthopaedic surgeons. Masquelet et al described a two stage technique for reconstruction of bone defects known as induced membrane technique in the management of segmental skeletal defects resulting from traumatic bone loss, osteomyelitis. Materials and Methods: Eight patients with segmental bone defects were treated in our hospital by induced membrane technique. The mean age of patients was 36 years (age range18 – 55 years). The causes of the defects were traumatic bone loss in 4 patients and chronic osteomyelitis in 4 patients. The defects were located in femur (n=3), tibia (n=3), humerus (n=1), radius shaft (n=1). The defect ranges were from 3 – 9 cms. All cases were treated by induced membrane technique in two stages. Results: Bone union happened in all patients. Duration of keeping cement spacer was 6 – 8 weeks. Five out of 8 cases required second episode of bone grafting. Conclusion: The induced membrane technique is a valid option for the management of segmental defects if done judiciously but the time required for growth and maturation of graft is relatively long.

Keywords: Induced Membrane; Osteomyelitis; Bone Defects; Cement Spacer; Post Traumatic.

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DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.2216.3

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