Metacarpal bone reconstruction by a cementless induced membrane technique

Murison, James Charles; Pfister, Georges; Amar, S.; Rigal, Sylvain; Laurent, Michel

doi:10.1016/j.hansur.2019.01.002

Cited by 14 publications

(24 citation statements)

References 10 publications

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“…Since then, we have repeatedly published on IMT use in the various settings of our military practice. Like civilian authors, we have found that this technique achieves satisfying outcomes in bone union and complication rates [3,12,[15][16][17][18][19][20][21][22]. We have also demonstrated that IMT is suited for bone defects of ballistic origin and can be applied in the austere environment of forward surgical units [12,17,22].…”

Section: Introductionmentioning

confidence: 70%

“…Like civilian authors, we have found that this technique achieves satisfying outcomes in bone union and complication rates [3,12,[15][16][17][18][19][20][21][22]. We have also demonstrated that IMT is suited for bone defects of ballistic origin and can be applied in the austere environment of forward surgical units [12,17,22]. However, although simple, a successful IMT procedure is not easy to complete, especially when facing infected defects with limited resources [3,18,22].…”

Section: Introductionmentioning

confidence: 82%

“…The superficial location of the reconstruction space leads to frequent septic failure secondary to spacer exposure or other soft-tissue coverage issues [21]. Appropriate stable fixation can be achieved by either multiple pinning or plating depending on the defect location (i.e., phalangeal or metacarpal) [12,46].…”

Section: Upper Extremity Defectsmentioning

confidence: 99%

“…To date, only a few authors have reported on the Masquelet technique for reconstruction of combatrelated bone defects [3,[12][13][14]. In 2019, we published the first clinical series about tibia reconstruction by IMT in soldiers [3].…”

Section: Introductionmentioning

confidence: 99%

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Masquelet technique in military practice: specificities and future directions for combat-related bone defect reconstruction

Mathieu

Mourtialon

Durand³

et al. 2022

Military Med Res

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Because of its simplicity, reliability, and replicability, the Masquelet induced membrane technique (IMT) has become one of the preferred methods for critical bone defect reconstruction in extremities. Although it is now used worldwide, few studies have been published about IMT in military practice. Bone reconstruction is particularly challenging in this context of care due to extensive soft-tissue injury, early wound infection, and even delayed management in austere conditions. Based on our clinical expertise, recent research, and a literature analysis, this narrative review provides an overview of the IMT application to combat-related bone defects. It presents technical specificities and future developments aiming to optimize IMT outcomes, including for the management of massive multi-tissue defects or bone reconstruction performed in the field with limited resources.

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Section: Introductionmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 82%

Section: Upper Extremity Defectsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Masquelet technique in military practice: specificities and future directions for combat-related bone defect reconstruction

Mathieu

Mourtialon

Durand³

et al. 2022

Military Med Res

View full text Add to dashboard Cite

show abstract

“…The spacer is prepared outside the wound and inserted into the bone defect after it has set. Two groups of authors 5,6 have even described the use of a piece of disposable syringe itself as a spacer, and have reported outcomes similar to those seen with cement spacers.…”

Section: Discussionmentioning

confidence: 93%