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Management of forearm bone loss with induced membrane technique
M Bourgeois1, F Loisel2, D Bertrand1
1Service de chirurgie orthopédique, traumatologique et plastique, CHRU de Besançon, boulevard Fleming, 25030 Besançon cedex, France.
Hand Surgery & Rehabilitation
|February 17, 2020
Summary
The induced membrane technique effectively treats forearm bone defects, leading to bone union and good long-term function. This method offers a viable alternative to vascularized autografts, improving patient quality of life.
Area of Science:
- Orthopedic surgery
- Regenerative medicine
- Bone defect repair
Background:
- Segmental bone defects in the forearm are challenging to treat.
- Limited published data exists on the induced membrane technique for forearm defects.
Purpose of the Study:
- Evaluate the induced membrane technique for forearm segmental bone defects.
- Assess bone union time, joint function, and patient quality of life.
- Compare outcomes to vascularized autograft procedures.
Main Methods:
- Retrospective study of patients treated with the induced membrane technique over 13 years.
- Collected data on demographics, bone union, complications, and functional outcomes.
- Utilized iliac crest, femur (Reamer Irrigator Aspirator), and radius bone grafts.
Main Results:
- Six patients with defects (average 64mm) achieved bone union in a mean of 4 months.
- Five out of six patients achieved bone union.
- Long-term follow-up (8.5 years) showed low pain (VAS 0.6) and excellent functional scores (Mayo 98, Herzberg 108, QuickDASH 14.9).
- All patients returned to work.
Conclusions:
- The induced membrane technique is effective for treating forearm segmental bone defects.
- It leads to good bone union and excellent long-term functional outcomes and quality of life.
- This technique avoids complications associated with vascularized autografts.
