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Archives of Orthopaedic and Trauma Surgery

, Volume 139, Issue 7, pp 1025–1031 | Cite as

Staged arthrodesis using the Masquelet technique for osteomyelitis of the finger with articular destruction: a report of two cases

  • Rana Ono
  • Shingo KomuraEmail author
  • Akihiro Hirakawa
  • Hitoshi Hirose
  • Masanori Tsugita
  • Takahiro Masuda
  • Yoshiki Ito
  • Haruhiko Akiyama
Handsurgery
  • 38 Downloads

Abstract

Osteitis of the fingers is a serious infection that needs early diagnosis and appropriate surgical debridement and antibiotic treatment of the infected bone. If the effects of treatments are insufficient, long-term antibiotic treatment and repeated operations could be required. In worst cases, some patients may have to undergo amputation. Recently, the usefulness of the Masquelet technique in extensive traumatic bone defects has been reported. We herein describe two cases of immunocompromised patients with purulent osteitis involving joint destruction of the finger treated by two-stage arthrodesis using the Masquelet technique. They obtained good infection control and better function of the finger than before the operation. Moreover, there was no recurrence of the infection. The Masquelet technique could be an alternative technique for osteitis with high risk of amputation.

Keywords

Phalangeal osteitis Masquelet technique Two-stage arthrodesis Antibiotic treatment Immunocompromised host 

Notes

Acknowledgements

The authors report no benefits, grants or assistance from any party.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical consideration

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from the patients.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryGifu University Graduate School of MedicineGifuJapan
  2. 2.Department of Orthopaedic SurgeryKizawa Memorial HospitalGifuJapan

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