Bone Repair Using the Masquelet Technique

Masquelet, A. C.; Kanakaris, Nikolaos K.; Obert, L.; Stafford, Paul; Giannoudis, Peter V.

doi:10.2106/jbjs.18.00842

Cited by 212 publications

(238 citation statements)

References 98 publications

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“…On the other hand, the Foucher-flap interruption of the Masquelet membrane with a fresh flap may result in bone resorption. 1 This phenomenon could be seen in our case after K-wire removal in the vicinity of the Foucher flap. Nevertheless, this had no significant impact on the final result, as the bone completely consolidated after further mobilization.…”

Section: Discussionsupporting

confidence: 66%

“…Masquelet technique is well known and well researched for treatment of extensive bone loss due to trauma, tumor, or infection. 1 It includes a 2-stage procedure. In the first step, meticulous surgical debridement is followed by implanting a polymethylmethacrylate (PMMA) spacer to cover the void while preserving neurovascular structures and healthy soft and bone issue.…”

Section: Introductionmentioning

confidence: 99%

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Thumb Reconstruction after Severe Trauma Using the Masquelet Technique and the Foucher Neurovascular Flap

Luttenberger

Taqatqeh

Dragu

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Summary: Complex injuries of fingers with bone and soft tissue loss often result in amputation. We present here a case of thumb reconstruction in a severely injured thumb with bone and dorsal soft tissue loss. Primarily a radical debridement of devascularized tissue was performed and a spacer was implanted, to ensure tissue decontamination and induce a Masquelet’s bone membrane. After 6 weeks the spacer was replaced with autologous cancellous bone and a pedicled Foucher neurovascular flap was used to augment the soft tissues. Eight months postoperatively the patient showed a great outcome with thumb length preservation, excellent range of motion and aesthetics. This novel technique facilitates finger and especially thumb preservation without the risk of infection. The Masquelet technique can hereby be safely used for reconstruction of finger injuries and the microsurgical flap coverage can be postponed for the secondary procedure, without compromising the bone regeneration.

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Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Thumb Reconstruction after Severe Trauma Using the Masquelet Technique and the Foucher Neurovascular Flap

Luttenberger

Taqatqeh

Dragu

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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“…At six to eight weeks, the PMMA block is removed, after which bone graft is placed in the defect. The exact mechanism of the membrane-associated osteoinduction has been the point of the ongoing discussion [10].…”

Section: Discussionmentioning

confidence: 99%

Recalcitrant Septic Nonunion of the Ulna

Bech¹,

Kloen²

2020

Cureus

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“…In particular, studies have observed that skeletal muscle aids fracture healing and subsequent remodeling through the provision of vascular derived mesenchymal stem cells, muscle stem cells, osteogenic myokines, and mechanical stimulation (see for review [46][47][48]), which manifest impaired simple fracture healing as well as rhBMP-2 mediated osteogenesis in a critical size segmental bone defect [49][50][51][52][53][54][55][56][57]. Supporting the clinical relevance of these basic science findings, severe open fractures can require more advanced fixation, soft tissue grafts or flaps, or multistep operative techniques (e. g. Masquelet technique [58]) to achieve union. Another significant factor playing a role in impaired fracture healing in the severely traumatized extremity is the heightened and prolonged inflammatory response that ensues.…”

Section: Fracture Healingmentioning

confidence: 99%

Musculoskeletal Regeneration, Rehabilitation, and Plasticity Following Traumatic Injury

2020

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AbstractThe musculoskeletal system has an integral role throughout life, including structural support to the body, protection, and allowing a range of fine to complex movements for daily living to elite sporting events. At various times, injuries to the musculoskeletal system occur resulting in varying levels of impact to the person both acutely and chronically. Specifically, there is a spectrum of complexity in orthopedic injuries, with some such as common muscle strains, that while burdensome will have no impact on life-long functional ability, and others that can result in long lasting disability. Focusing on extremity injuries, this review highlights: i)the current impact of orthopedic injuries in sport and daily life; ii) the foundation of bone and skeletal muscle repair and regeneration; and iii) the disruptions in regenerative healing due to traumatic orthopedic injuries. This review seeks to maximize the broad and collective research impact on sport and traumatic orthopedic injuries in search of promoting ongoing innovation for treatment and rehabilitation approaches aimed to improve musculoskeletal health throughout life.

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Bone Repair Using the Masquelet Technique

Cited by 212 publications

References 98 publications

Thumb Reconstruction after Severe Trauma Using the Masquelet Technique and the Foucher Neurovascular Flap

Thumb Reconstruction after Severe Trauma Using the Masquelet Technique and the Foucher Neurovascular Flap

Recalcitrant Septic Nonunion of the Ulna

Musculoskeletal Regeneration, Rehabilitation, and Plasticity Following Traumatic Injury

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