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Modified Masquelet technique in children.

Ravi Mittal1, Siddharth Jain1

  • 1Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.

Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi
|September 28, 2021
PubMed
Summary
This summary is machine-generated.

The Masquelet technique for long bone defects in children can be modified. Using a nonvascularized fibular graft instead of traditional bone graft is an effective alternative for achieving union.

Keywords:
ChildrenFree fibula graftGap non-unionInduced membraneMasquelet technique

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Bone Reconstruction

Background:

  • The Masquelet technique is a common method for treating long bone defects.
  • Autologous cancellous bone grafting in children poses challenges due to anatomical limitations.

Observation:

  • A 13-year-old male presented with a gap non-union in the middle third of his tibia.
  • A modified Masquelet technique was employed, utilizing a cortical fibular graft.

Findings:

  • The fibular graft, acting as a nonvascularized strut and matched stick graft, successfully filled the defect within the induced membrane.
  • Complete union of the tibia was achieved.

Implications:

  • Nonvascularized fibular grafting presents a viable and straightforward solution for the second stage of the Masquelet technique in pediatric patients.
  • This approach addresses the limitations of traditional bone grafting in children with long bone defects.