Masquelet technique for the treatment of infected segmental long-bone defects
Abstract
Introduction: Infected segmental bone defects are challenging conditions, with complex treatment. Masquelet technique represents an alternative for these cases. The aim of this retrospective, multicenter study was to show clinical and radiological outcomes with the use of this reconstruction technique in infected segmental bone defects of femur and tibia, to characterize the defects treated and to describe different aspects of surgical technique.Methods: We analyzed 24 patients (14 men and 10 women; average age 36.16 years [range 18-67]) treated with Masquelet technique between 2011 and 2016. Average follow-up was 16.5 months (range 12-27) from the second surgical stage. Affected bone, defect length (cm), consolidation time and infectious process control were analyzed.Results: Length of treated bone defect was on average 5.7 cm (range 3-12), it was higher than 4 cm in 50% of the cases. The largest segmental bone defect measured 12 cm at the tibia and 10 cm at the femur. Bone consolidation was achieved in all cases, on average, in 4.5 months. One patient presented a recurrence of the infectious process 12 months after the successful consolidation.Conclusions: Masquelet technique or induced membrane technique offers a reasonable and simple alternative to a highly challenging problem, such as infected segmental bone defects, presenting a consolidation rate greater than 90% even in complex cases.Downloads
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