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Published on: May 16, 2013
Use of the induced membrane technique for long bone reconstruction in low-resource settings
1Service de chirurgie orthopédique, traumatologie et chirurgie réparatrice, Hôpital d'instruction des armées Percy, 101 avenue Henri-Barbusse 92140 Clamart, France.
Abstract:
The induced membrane technique is a simple and effective method for reconstructing bone defects in limbs. It is suited to low resource settings, if sufficient care is taken in preparing and performing the technique. Key points for the success of this procedure are described here. In austere environments, its use is mostly limited by possibilities for treatment of bone infection, but also by access to surgical cement and available bone stock. Alternatives for overcoming these last two obstacles are presented.
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Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...

