DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20211634

Masquelet technique for management of posttraumatic bone defect in a patient of chronic osteomyelitis of long bone

Lokesh Thakur, Sarvesh Kumar Singh, Sunny Dua, Devinder Kumar, Manish Sharma

Abstract


Masquelet technique, which is the use of a temporary cement spacer followed by staged bone grafting, is a treatment strategy for reconstruction of large, infected, bone defects. This paper describes a patient treated with this technique to successfully manage postinfective or posttraumatic osseous long bone defect. Sequestrectomy was done and the injured limb was stabilized and aligned with application of external fixator at the time of initial antibiotic cement spacer placement. After 6 weeks of proper antibiotic coverage, all antibiotics were stopped for next 2 weeks. Clinical evaluation and investigations were done to rule out any residual infection. Osseous consolidation was successfully achieved with staged bone grafting and internal stabilization of long bone defect.


Keywords


Masquelet technique, Posttraumatic, Chronic osteomyelitis, Bone defects

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References


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