Membrane-Induced Technique for the Management of Combined Soft Tissue and Osseous Defects
Ryan Pereira1, William C Perry2, Peter A Crisologo3
1Private Practice, Anastasia Medical Group, 1301 Plantation Island Drive S, Suite 203A, Saint Augustine, FL 32080, USA.
Abstract:
The induced membrane technique is a simple, effective, and reproducible treatment method for segmental bone defects. It is a 2-stage approach that requires eventual autologous bone graft to manage the deficit. The first stage requires debridement of all nonviable tissue while preserving a healthy soft tissue envelope. A polymethylmethacrylate is implanted between the osseous segments to maintain length. The osseous defect can be stabilized internally or externally. During the second stage, a vascularized induced membrane is formed and produces multiple growth factors. The induced membrane technique is a valuable option for limb salvage in cases of segmental bone defects.


