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Published on: May 25, 2012
Treatment of distal tibia periarticular bone loss using the Masquelet technique with RIA bone graft
G C Salvo1, S Bonfiglio1, S Milazzo1
1"Cannizzaro" Emergency Hospital, Orthopedic and Trauma Care Unit, Catania, Italy.
Injury
|July 31, 2026
Summary
A severe open tibia fracture with bone loss was successfully managed using the two-stage Masquelet technique. This approach, involving bone resection and grafting, led to a satisfactory functional outcome for the patient.
Area of Science:
- Orthopedic surgery
- Trauma management
- Limb reconstruction
Background:
- Road traffic accidents frequently cause severe open fractures.
- Open tibia fractures with significant bone loss pose complex reconstruction challenges.
- The Masquelet technique offers a solution for extensive bone defects.
Purpose of the Study:
- To present the management of a complex distal tibia and talus fracture with acute bone loss.
- To evaluate the efficacy of the two-stage Masquelet technique in such cases.
- To report the functional outcome following surgical reconstruction.
Main Methods:
- Acute bone resection of the talus and distal tibia due to grade IIIB open fracture.
- Application of the two-stage Masquelet technique.
- Hind-foot nail stabilization, RIA auto-graft, and joint arthrodesis.
Main Results:
- Successful management of a grade IIIB open fracture with acute bone loss.
- The Masquelet technique facilitated bone reconstruction.
- Achieved satisfactory functional outcome and joint arthrodesis.
Conclusions:
- The two-stage Masquelet technique is effective for managing severe open tibia fractures with bone loss.
- This reconstructive approach can lead to favorable functional recovery.
- Multi-modal surgical management is crucial for complex lower extremity trauma.
