Reconstruction of a metadiaphyseal bone defect after open comminuted fracture of the proximal femur using a modified Masquelet technique

被引:0
作者
Fischer, C. [1 ,2 ]
Mendel, T. [1 ]
Hueckstaedt, M. [1 ]
Hofmann, G. O. [1 ,2 ]
Klauke, F. [1 ,2 ]
机构
[1] Klin Unfall und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle Saale, Merseburger Str 165, D-06112 Halle An Der Saale, Germany
[2] Univ Klin Jena, Klin Unfall Hand und Wiederherstellungschirurgie, Am Klinikum 1, D-07747 Jena, Germany
来源
UNFALLCHIRURGIE | 2023年 / 126卷 / 10期
关键词
Masquelet technique; Infected nonunion; Diamond concept; Bone defect; Induced membrane; INFECTED NONUNION; DIAMOND CONCEPT; STANDARD;
D O I
10.1007/s00113-022-01278-6
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The reconstruction of segmental bone defects after surgical treatment of infected delayed unions as well as nonunions, places the highest demands on the surgical technical implementation. After treating the fracture-related infection, guaranteeing biomechanical stability is crucial for the success of the treatment. The presented case describes the successful treatment of an infected delayed union after an open metadiaphyseal comminuted fracture of the proximal femur using a modified Masquelet technique. A solid allogeneic bone graft in combination with autologous cancellous bone were inserted into a 7 cm subtrochanteric defect zone and stabilized with a combined plate and nail osteosynthesis.
引用
收藏
页码:812 / 816
页数:5
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