Results of the Induced Membrane Technique in the Management of Traumatic Bone Loss in the Lower Limb: A Cohort Study

被引：33
|
作者：
Giotikas, Dimitris [1 ]
Tarazi, Nadim [1 ]
Spalding, Lynette [1 ]
Nabergoj, Marko [1 ]
Krkovic, Matija [1 ]
机构：
[1] Addenbrookes Hosp, Dept Trauma & Orthopaed, Cambridge, England
来源：
JOURNAL OF ORTHOPAEDIC TRAUMA | 2019年 / 33卷 / 03期
关键词：
Masquelet; bone defect; MASQUELET TECHNIQUE; GROWTH-FACTORS; DEFECTS; INFECTIONS;
D O I：
10.1097/BOT.0000000000001384
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Objective: To present our technique and early results using the Masquelet technique. Design: Retrospective cohort study. Patients/Participants: Thirteen patients with 14 open fractures of the femur and tibia were included between November 2013 and December 2014. Intervention: A Masquelet technique was used to manage the open fractures. Main outcome measure: Infection and union rate. Results: The mean follow-up was 17 months. The mean bone defect was 56.6 mm. Eight fractures (57.1%) progressed to union at an average of 42.1 weeks. Infection developed in 3 fractures (21.4%). Overall, the induced membrane technique was abandoned in 5 (35.7%) cases. Conclusions: The induced membrane technique showed a substantial rate of failure in the acute trauma setting in the lower limb. In the absence of sound published evidence, the authors now use the technique in selected cases only.
引用
收藏
页码：131 / 136
页数：6
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