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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.
Aim:
To report our experience with the Masquelet concept in a pediatric upper extremity following an open injury to the elbow.
Methods:
A case report and literature review.
Results:
An 11-year-old boy was transferred to our institution after a motor vehicle collision. There was a primary loss of the ulnohumeral articulation and the surrounding soft tissues as well as the ulnar nerve. Reconstruction used the Masquelet-induced membrane technique and a soft tissue flap. At the 30-month follow-up, the extremity was pain free and functional.
Conclusion:
This case highlights the value of the Masquelet technique in pediatric extremity injuries, where there is a loss of a major articular segment, as well as significant soft tissue compromise.
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