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Masquelet Technique for Phalangeal Reconstruction and Osteomyelitis.
Mark E Pruzansky1,2, Yunsoo Lee2, Jason Pruzansky1,2
1HandSport Surgery Institute, New York, NY.
Techniques in Hand & Upper Extremity Surgery
|June 20, 2020
Summary
This study details a successful two-stage Masquelet technique for treating complex finger osteomyelitis and nonunion. The approach involves antibiotic cement spacers and bone grafting, offering a viable alternative to amputation for phalangeal reconstruction.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
Background:
- Finger osteomyelitis, often resulting from open fractures, poses a significant treatment challenge, frequently leading to amputation.
- Current literature offers various treatments, yet successful limb salvage remains difficult for severe phalangeal infections and nonunions.
Observation:
- A case of an open index finger fracture with nonunion, infection, and osteomyelitis was presented.
- The patient underwent a two-stage Masquelet technique involving an antibiotic cement spacer and subsequent iliac crest bone graft.
Findings:
- The described two-stage Masquelet technique, utilizing both intravenous and oral antibiotics, proved successful in treating phalangeal osteomyelitis and reconstruction.
- This method, though rarely documented for hand and finger cases, demonstrated efficacy in limb salvage.
Implications:
- The Masquelet technique offers a promising, less invasive alternative to amputation for complex phalangeal osteomyelitis and reconstruction.
- Further investigation into this technique's application in hand surgery could improve outcomes for challenging finger infections.
