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8. Low-Intensity Pulsed Ultrasound (LIPUS) Treatment for the Patient With Bone Reconstruction by the Masquelet

Takahiro Niikura1, Sang Yang Lee, Takashi Iwakura

  • 1Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine.

Journal of Orthopaedic Trauma
|July 22, 2016
PubMed
Summary

Low-intensity pulsed ultrasound (LIPUS) shows promise as an add-on therapy for bone reconstruction using the Masquelet technique and the reamer irrigator aspirator (RIA) for graft harvesting. This case study demonstrates successful bone union and pain relief in a patient with a complex tibia fracture.

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Area of Science:

  • Orthopedic surgery
  • Regenerative medicine
  • Biomaterials science

Background:

  • The Masquelet technique is a two-stage surgical approach for bone defects, involving a cement spacer followed by autologous bone grafting into an induced membrane.
  • The reamer irrigator aspirator (RIA) is used for harvesting bone grafts in this technique.
  • Low-intensity pulsed ultrasound (LIPUS) is a non-invasive therapeutic modality.

Purpose of the Study:

  • To report the application of LIPUS as an adjuvant therapy in a patient undergoing bone reconstruction with the Masquelet technique and RIA.
  • To evaluate the efficacy of LIPUS in promoting bone union and functional recovery.

Main Methods:

  • A 44-year-old male patient with a complex tibia fracture and infection underwent debridement and placement of vancomycin-impregnated cement.
  • After 8 weeks, the cement was replaced with autologous bone graft harvested using RIA and packed into the induced membrane.
  • LIPUS was applied postoperatively to the affected site.

Main Results:

  • Bone union is progressing 4 months after the second surgery.
  • The patient can walk without pain.
  • The combination of Masquelet technique, RIA, and LIPUS facilitated bone healing.

Conclusions:

  • LIPUS may serve as an effective adjuvant therapy in conjunction with the Masquelet technique and RIA for bone reconstruction.
  • This approach shows potential for improving outcomes in complex bone defect cases.