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Outcomes of the Masquelet technique in upper extremity bone defects: A retrospective study
Yusuf Kıratlıoğlu1, Mehmet Yalçın1, Uğur Bezirgan1
1Ankara University Faculty of Medicine, Department of Hand Surgery, Ankara, Turkey.
Summary
The Masquelet technique effectively reconstructs upper extremity bone defects, achieving bone union in all patients with minimal complications. This two-stage approach offers a reliable solution for complex bone loss cases.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Bone Defect Management
Background:
- Upper extremity bone defects pose significant challenges in orthopedic surgery.
- Causes include trauma, infection, and tumor resection.
- The Masquelet technique is a promising two-stage reconstructive approach.
Purpose of the Study:
- To evaluate the efficacy of the Masquelet technique for upper extremity bone loss.
- To assess bone healing, functional outcomes, and complication rates.
Main Methods:
- Retrospective review of 13 cases in 10 patients (2015-2024).
- Analysis of defect characteristics, surgical details, healing time, and complications.
- Radiographic assessment of bone healing and clinical evaluation using VAS and QuickDASH scores.
Main Results:
- Mean defect length: 4.26 cm; average healing time: 13.6 weeks.
- All patients achieved bone union; one complication required reoperation.
- Satisfactory functional outcomes with low complication rates.
Conclusions:
- The Masquelet technique is effective and reliable for upper extremity bone defect reconstruction.
- It demonstrates good bone healing and functional recovery with a low complication rate.
- Larger studies are recommended to confirm these findings.

