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Tibial segmental bone defect reconstruction by Ilizarov type bone transport in an induced membrane.

Abstract：

:The management of combined loss of skin coverage and bone substance in the lower third of the leg is problematic. A recommended sequential strategy associates removal of infected tissue and coverage followed by treatment of the bone defect. We report a technique without microsurgery, using Masquelet's induced membrane technique to manage the bone loss, associated to bone transport and coverage by a fasciocutaneous flap with distal pedicle. In a patient presenting with a 10 cm defect with bone exposure, this 2-step procedure allowed consolidation at 7 months without functional sequelae; the fixator was kept in place for 9 months. Neither microsurgery nor cancellous bone graft was required. Using a spacer to induce a membrane facilitated bone transport and distal consolidation.

journal_name

Orthop Traumatol Surg Res

journal_title

Orthopaedics & traumatology, surgery & research : OTSR

authors

Uzel AP,Lemonne F,Casoli V

doi

10.1016/j.rcot.2010.02.001

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

194-8

issue

2

issn

1877-0568

pii

S1877-0517(10)00026-2

journal_volume

96

pub_type

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