CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(06): 1074-1078
DOI: 10.1055/s-0040-1710336
Relato de caso
Trauma

Management of Bone Failure in Fracture of the Distal Region of the Femur Using the Masquelet Technique with Fibula Graft Associated with Iliac-Crest Graft: Report of Two Cases[*]

Article in several languages: português | English
1   Serviço de Ortopedia e Traumatologia, Hospital Maria Amélia Lins, Belo Horizonte, Minas Gerais, Brasil
,
Tardelli Lapaz da Silva Prudêncio
1   Serviço de Ortopedia e Traumatologia, Hospital Maria Amélia Lins, Belo Horizonte, Minas Gerais, Brasil
,
Gustavo Pacheco Martins Ferreira
1   Serviço de Ortopedia e Traumatologia, Hospital Maria Amélia Lins, Belo Horizonte, Minas Gerais, Brasil
,
Alessandro Cordoval de Barros
1   Serviço de Ortopedia e Traumatologia, Hospital Maria Amélia Lins, Belo Horizonte, Minas Gerais, Brasil
,
Marco Túlio Lopes Caldas
1   Serviço de Ortopedia e Traumatologia, Hospital Maria Amélia Lins, Belo Horizonte, Minas Gerais, Brasil
,
Heitor Maia Rodrigues
1   Serviço de Ortopedia e Traumatologia, Hospital Maria Amélia Lins, Belo Horizonte, Minas Gerais, Brasil
› Author Affiliations

Abstract

Two cases of bone failure after fracture of the distal region of the femur treated with the Masquelet technique are presented. The first case involves acute bone loss, and the second, pseudarthrosis. The proper management of these lesions led to consolidation and a good functional result.

* Work developed at the Orthopedics and Traumatology Service, Hospital Maria AméliaLins, Belo Horizonte, Minas Gerais, Brazil.




Publication History

Received: 06 September 2019

Accepted: 02 March 2020

Article published online:
10 June 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • Referências

  • 1 DeCoster TA, Gehlert RJ, Mikola EA, Pirela-Cruz MA, DeCoster TA. Management of posttraumatic segmental bone defects. J Am Acad Orthop Surg 2004; 12 (01) 28-38
  • 2 Rezzouk J, Leclerc J, Leger O, Boireau P, Fabre T, Durandeau A. Bone reconstruction with induced membranes and cancellous autograft: results in 18 cases of osteitis. J Bone Joint Surg Br 2005; 87 (Suppl. 02) 98
  • 3 Masquelet AC, Begue T. The concept of induced membrane for reconstruction of long bone defects. Orthop Clin North Am 2010; 41 (01) 27-37
  • 4 Chong KW, Woon CY, Wong MK. Induced membranes--a staged technique of bone-grafting for segmental bone loss: surgical technique. J Bone Joint Surg Am 2011; 93 (Suppl. 01) 85-91
  • 5 Ahmad S, Kalra M, Selvamari M. Induced membrane formation in a case of infected gap nonunion of radius: Case report. J Clin Orthop Trauma 2013; 4 (03) 147-150
  • 6 Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma 1984; 24: 742-746
  • 7 Giannoudis PV. Treatment of bone defects: Bone transport or the induced membrane technique?. Injury 2016; 47 (02) 291-292
  • 8 Pelissier P, Martin D, Baudet J, Lepreux S, Masquelet AC. Behaviour of cancellous bone graft placed in induced membranes. Br J Plast Surg 2002; 55 (07) 596-598
  • 9 Pelissier P, Masquelet AC, Bareille R, Pelissier SM, Amedee J. Induced membranes secrete growth factors including vascular and osteoinductive factors and could stimulate bone regeneration. J Orthop Res 2004; 22 (01) 73-79
  • 10 Pelletier MH, Malisano L, Smitham PJ, Okamoto K, Walsh WR. The compressive properties of bone cements containing large doses of antibiotics. J Arthroplasty 2009; 24 (03) 454-460
  • 11 Chmell MJ, McAndrew MP, Thomas R, Schwartz HS. Structural allografts for reconstruction of lower extremity open fractures with 10 centimeters or more of acute segmental defects. J Orthop Trauma 1995; 9 (03) 222-226
  • 12 Dugan TR, Hubert MG, Siska PA, Pape HC, Tarkin IS. Open supracondylar femur fractures with bone loss in the polytraumatized patient - Timing is everything!. Injury 2013; 44 (12) 1826-1831
  • 13 Donegan DJ, Scolaro J, Matuszewski PE, Mehta S. Staged bone grafting following placement of an antibiotic spacer block for the management of segmental long bone defects. Orthopedics 2011; 34 (11) e730-e735
  • 14 Levin LS. Vascularized fibula graft for the traumatically induced long-bone defect. J Am AcadOrthop Surg 2006; 14 (10 Spec No.): S175-S176
  • 15 Allsopp BJ, Hunter-Smith DJ, Rozen WM. Vascularized versus Nonvascularized Bone Grafts: What Is the Evidence?. Clin Orthop Relat Res 2016; 474 (05) 1319-1327