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Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation

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Salvage of mangled upper extremity using the Masquelet technique in a child: A case report.

Nabil Alassaf¹, Amro Alhoukail¹, Abdullah Alsahli²

¹Department of Surgical Specialties, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.

SAGE Open Medical Case Reports

|December 5, 2017

Summary

The Masquelet technique successfully reconstructed an 11-year-old boy's severe elbow injury, restoring function and eliminating pain after significant tissue loss. This highlights its value in pediatric extremity trauma.

Keywords:

Masquelet technique elbow arthrodesis induced membrane mangled extremity pediatric

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Area of Science:

Orthopedic surgery
Pediatric trauma care
Regenerative medicine

Background:

Open elbow injuries in children can lead to severe functional deficits.
Reconstruction of major articular segments and soft tissue loss presents a significant challenge.

Observation:

An 11-year-old boy sustained an open elbow injury with loss of the ulnohumeral articulation, soft tissues, and ulnar nerve.
The injury resulted from a motor vehicle collision.

Findings:

The Masquelet-induced membrane technique combined with a soft tissue flap was employed for reconstruction.
At 30-month follow-up, the patient's extremity was pain-free and functional.

Implications:

The Masquelet technique is a viable option for complex pediatric upper extremity injuries.
This approach demonstrates potential for restoring function in cases with extensive bone and soft tissue loss.