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Related Experiment Videos

[Foot reconstruction with the "bi-Masquelet" procedure].

P Pelissier1, V Bollecker, D Martin

  • 1Service de chirurgie plastique, hôpital Pellegrin-Tondu, place Amélie Raba-Léon, 33076 Bordeaux, France. philippe.pelissier@chu-bordeaux.fr

Annales De Chirurgie Plastique Et Esthetique
|November 8, 2002
PubMed
Summary

This study reports a complex foot injury reconstruction using the induced membrane and spongy autograft technique. This method effectively restored the metatarsal arch despite technical challenges, demonstrating its utility in difficult cases.

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Area of Science:

  • Orthopedic Surgery
  • Regenerative Medicine
  • Bone Reconstruction

Background:

  • Complex foot injuries often require advanced reconstructive techniques.
  • The Masquelet technique, involving induced membranes and bone grafting, is a viable option for large bone defects.
  • Reconstructing the metatarsal arch presents unique challenges due to functional demands.

Observation:

  • A case of complex dorsal foot injury necessitating metatarsal arch reconstruction is presented.
  • The procedure combined the induced membrane technique with a fresh autologous cancellous bone graft and hydroxyapatite.
  • A supramalleolar island flap was utilized for concurrent soft tissue reconstruction.

Findings:

  • The induced membrane, formed by a cement spacer, promoted graft vascularity and prevented resorption.

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  • Bone healing was confirmed by the ninth month post-procedure.
  • Despite encountering technical difficulties, the technique proved effective and manageable under adverse conditions.

    • Implications:

    • The induced membrane technique offers a promising approach for complex bone defect reconstruction in challenging anatomical locations.
    • Understanding potential pitfalls is crucial for successful application of this technique.
    • This case highlights the potential of combining induced membranes with bone grafts and flaps for comprehensive limb salvage.