Salvage of Bone Transport with the Induced Membrane Technique in an Open Tibia Fracture with a Segmental Defect: A
1Department of Orthopaedic Surgery, Ascension St. Mary's Hospital, Saginaw, Michigan.
Case:
A 29-year-old man with an open tibia fracture and a 15-cm bone defect was treated with irrigation, debridement, intramedullary nailing, soft-tissue flap, and bone transport with a frame over the nail. He developed osteomyelitis of his bone transport segment close to docking, which required bone resection and an induced membrane technique to salvage his transport segment and achieve union.
Conclusions:
This report illustrates the combined use of bone transport and induced membrane technique to achieve union in a 15-cm tibial defect. It demonstrates the use of the Masquelet technique to salvage an infected bone transport segment.
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