Die Masquelet-Technik zur Behandlung großer dia- und metaphysärer Knochendefekte

Krappinger, Dietmar; Lindtner, Richard A.; Zegg, Michael; Pont, A.; Huber, B.

doi:10.1007/s00064-014-0300-9

Cited by 18 publications

(8 citation statements)

References 36 publications

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“…For the secondary restoration of the bony structures, a number of established surgical options for the treatment of diaphyseal bone defects were available for the further clinical course: an autologous cancellous bone graft, the two-staged Masquelet technique, bone segment transport, or free microsurgical bone transfer. The aim was the "reconstruction of an infection-free, viable and load-bearing bone with the correct balance of axis, length and rotation plus sufficient soft-tissue coverage" [6].…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Large Bone Defects and Complex Non-Unions Using a Free Fibular Bone Graft and a Supplementary Allograft

et al. 2020

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Large bone defects or complex pseudarthrosis represent an interdisciplinary challenge. Established surgical procedures include autogenous cancellous bone graft, the Masquelet technique or bone transfer via segment transport as well as free microvascular bone transplantation. However, the successful use of all these techniques requires a specialized center with great interdisciplinary expertise. In the following case series we describe the technique of free fibula transplantation and additional allograft. In both cases a good functional result with full mechanical strength of the affected extremity and satisfactory patient comfort has been achieved. In the second case, implant failure with the necessity of revision endoprosthetics occurred during the procedure.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of Large Bone Defects and Complex Non-Unions Using a Free Fibular Bone Graft and a Supplementary Allograft

et al. 2020

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“…The Masquelet technique for the management of long bone defects has been popularly used in managing traumatic defects of tibia as well as cases of infection. 4 12 This technique has shown to achieve good results when used for diaphyseal defects of the tibia. There have been no reports with regard to the results of this technique while managing defects of the distal femur.…”

Section: Discussionmentioning

confidence: 99%

Modified Capanna’s Technique (Vascularized Free Fibula Combined with Allograft) as a Single-Stage Procedure in Post-traumatic Long-Segment Defects of the Lower End of the Femur: Outcome Analysis of a Series of 19 Patients with an Average Gap of 14 cm

Jayaramaraju

Venkataramani

Rajasekaran

et al. 2019

Indian J Plast Surg

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Objectives Salvage and reconstruction of posttraumatic defects of the long bone are complex due to the multiple procedures involved and increased chances of poor outcomes. We present the outcomes of the modified Capanna’s technique—a reliable single-stage procedure of combining allograft and free vascularized fibular graft—in treating large posttraumatic bone defects in the distal third of the femur. Study Design This is a retrospective analysis. Materials and Methods Between April 2012 and September 2016, 19 patients with an average age of 33.8 years (range: 18–49 years) and an average defect of 14.5 cm (range: 9.5–20 cm) in the distal femur were managed by the modified Capanna’s technique. Bone union time and functional outcome using lower extremity functional score (LEFS) after union were noted. Outcomes and Results Eighteen grafts went onto achieve bony union at an average of 6.6 months (range: 5–9), with an average knee flexion of 80 degrees (range: 45–110 degrees) and an average LEFS of 63 (range: 46–72). One patient had a nonunion with graft resorption at 8 months following persistent infection and was revised with debridement and augmenting the vascularized fibula from the other leg which went on to achieve union. Three patients had superficial infection, and three patients had delayed union. Conclusion The modified Capanna’s technique provided increased biology and enhanced structural stability and therefore is a good single-stage procedure in the reconstruction of posttraumatic long-segment defects of the distal femur. Level of Evidence Level 4. Level of Clinical Care Level I tertiary trauma center.

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“…Its disadvantages are a complicated operation, the requirement of special training/devices, multiple wire-related complications, long external fixation and poor patient tolerance. 3) The membrane induction technique, 16 - 18 also known as the Masquelet technique has gradually gained popularity in Europe in recent years. It was initially used for chronic osteomyelitis, repair of large bone defects after tumor resection, with encouraging results.…”

Section: Discussionmentioning

confidence: 99%

Antibiotic-loaded bone cement spacer usage combined with membrane induction in infected gap non-unions: A case series

Li¹,

Ding²,

Zhou³

et al. 2018

Pak J Med Sci

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Objective:To explore the clinical effects upon gap nonunion of antibiotic-loaded bone cement spacer combined with membrane induction on infected bone defects.Methods:The data of 16 patients with infected bone defects admitted in General Hospital of Shenyang Military Area Command from January 2009 to January 2011 were analyzed retrospectively. There were 12 males and 4 females aged between 24-63 years age (average 43.1 ± 9.7) who had received antibiotic laiden bone cement spacer treatment. Stage-1, debridement and anti-biotic treatment with intraoperative preparation of customized bone cement spacers (antibiotics and bone cement spacer) with or without internal or external fixation Stage-2, removal of spacer and repair of bone defects using membrane-induced technique and internal fixation at bone defects site.Results:Sixteen patients were followed up for 39-98 months, (67.2 ± 20.4) on average. All patients with infected bone defects were healed. X-ray showed that fractures had healed and the new bone formed at graft site was more radio opaque than that of adjacent bone segments. The healing time was 6 to 10 months, (7.4 ± 1.1) on average. There was no recurrence of infection or deformity.Conclusion:The antibiotic-loaded cement spacer can control the local infection while maintaining the limb length and increasing the stability, reducing the contracture of bone and soft tissue, creating conditions for subsequent repair and reducing the infection rate of bone defects.

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Die Masquelet-Technik zur Behandlung großer dia- und metaphysärer Knochendefekte

Cited by 18 publications

References 36 publications

Reconstruction of Large Bone Defects and Complex Non-Unions Using a Free Fibular Bone Graft and a Supplementary Allograft

Reconstruction of Large Bone Defects and Complex Non-Unions Using a Free Fibular Bone Graft and a Supplementary Allograft

Modified Capanna’s Technique (Vascularized Free Fibula Combined with Allograft) as a Single-Stage Procedure in Post-traumatic Long-Segment Defects of the Lower End of the Femur: Outcome Analysis of a Series of 19 Patients with an Average Gap of 14 cm

Antibiotic-loaded bone cement spacer usage combined with membrane induction in infected gap non-unions: A case series

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