Abstract
High-energy open fractures of the distal femur often have segmental defects in the meta-diaphyseal region, with bone loss commonly measuring 6–10 cm or more in length. This is an ideal indication for reconstruction in a staged fashion using the induced membrane technique described by Masquelet . The fracture is stabilized with a locked plate and a PMMA spacer is used to fill the defect for 6–12 weeks. A membrane that is biologically active will at that point envelope the spacer; in a planned second stage the spacer is carefully removed while preserving this membrane. The spacer is exchanged for bone graft, and the membrane closed to contain the graft. Large segmental femoral defects can be successfully reconstructed using this technique.
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References and Suggested Reading
Giannoudis PV, Faour O, Goff T, Kanakaris N, Dimitriou R (2011) Masquelet technique for the treatment of bone defects: tips-tricks and future directions. Injury 42:591–598
Karger C, Kishi T, Schneider L, Fitoussi F, Masquelet AC (2012) Treatment of posttraumatic bone defects by the induced membrane technique. Orthop Traumatol Surg Res 98:97–102
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© 2015 Her Majesty the Queen in Right of Australia, as represented by Queensland Health
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Fraser, D., Tetsworth, K. (2015). Case 1: Masquelet Reconstruction Distal Femoral Segmental Defect After 3A Open Fracture. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18026-7_295
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DOI: https://doi.org/10.1007/978-3-319-18026-7_295
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18025-0
Online ISBN: 978-3-319-18026-7
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