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Thumb Reconstruction Using a Modified Masquelet Technique Following Crush Injury: A Case Report.

M K Ahmad-Faris¹, G Vijayan¹, R Ankimtay¹

¹Department of Orthopaedic Surgery, Miri Hospital, Miri, Malaysia.

Malaysian Orthopaedic Journal

|May 4, 2026

Summary

This summary is machine-generated.

Severe thumb crush injuries can impair function. A modified Masquelet two-stage technique, using an antibiotic spacer followed by an iliac graft, successfully reconstructed a thumb defect, restoring function and appearance.

Keywords:

masquelet technique for thumb thumb crush injury thumb reconstruction thumb salvage surgery two-stage technique for thumb

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Area of Science:

Orthopedic surgery
Hand surgery
Trauma reconstruction

Background:

Traumatic crush injuries of the thumb often lead to poor functional outcomes.
Reconstruction options for thumb defects vary based on surgical expertise.
The Masquelet technique is established for long bone defects but less reported for thumb reconstruction, particularly in Asia.

Purpose of the Study:

To describe a modified Masquelet two-stage technique for reconstructing a traumatic thumb crush injury.
To evaluate the functional outcome and aesthetic appearance following this reconstruction method.

Main Methods:

A case of right thumb crush injury was treated.
The bony defect was initially managed with an antibiotic spacer.
Subsequent reconstruction involved a tricortical iliac graft, adapting the Masquelet technique.

Main Results:

The modified Masquelet technique provided a satisfactory functional outcome for the thumb.
The hand appearance was also improved post-reconstruction.
This two-stage approach proved to be a versatile tool for thumb defect management.

Conclusions:

The modified Masquelet two-stage technique is effective for managing complex thumb crush injuries with bony defects.
This method offers a viable option for restoring both function and aesthetics in the hand.
Further case reports, especially from the Asian region, could expand understanding of this technique's application in thumb reconstruction.