Described by Masquelet et al1. – Massive segmental long bone defects. – 2 step process. • Thorough debridement and placement of a. PMMA spacer, fixation. Masquelet technique, which is the use of a temporary cement spacer followed by staged bone grafting, is a recent treatment strategy to manage. Tuttavia, la pratica dei lembi peduncolati rimane un esercizio delicato che richiede una formazione tecnica preliminare e una .. Masquelet and Gilbert,


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Masquelet Technique for Treatment of Posttraumatic Bone Defects

This is an open access article distributed under the Creative Commons Attribution Licensewhich permits masquelet tecnica use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract Masquelet technique, which is masquelet tecnica use of a temporary cement spacer followed by staged bone grafting, is a recent treatment strategy to manage a posttraumatic bone defect. This paper describes a series of 9 patients treated with this technique of staged bone grafting following placement of an antibiotic spacer to successfully manage osseous long bone defects.

The injured limbs were stabilized and aligned at the time of initial spacer placement. In our series, osseous consolidation was masquelet tecnica achieved in all cases. This technique gives promising result in the management of posttraumatic bone defects.

Introduction Segmental bone defects masquelet tecnica from traumatic injuries are complicated problems with significant long-term morbidity. Historically, due to the difficulty in managing segmental long bone defects, amputation was the preferred treatment.


Limb salvage has been developed over the masquelet tecnica half century. During World War II, massive cancellous bone autograft has been the mainstay of treatment [ 12 ]. The use of the Ilizarov technique, vascularized fibular grafts, and acute limb shortening have been used previously masquelet tecnica address defects of various lengths.

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Traditional bone graft techniques are limited by uncontrollable graft resorption, even when the recipient site is well vascularized [ 3 ]. More recently, the use of an antibiotic cement spacer followed by grafting within this space confirmed by an induced biomembrane has been described as a potential treatment strategy [ 45 ].

This paper describes a series of patients masquelet tecnica our institution successfully treated masquelet tecnica this technique. Patients and Methods Between andall patients admitted with post-traumatic bone defects and managed by Masquelet technique Table 1 were recruited.

The patients were evaluated for injury type, location, soft tissue condition, length of bone defect, antibiotic used, and duration of cementation.

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Moreover, the type of fixation, presence of infection, and current state of all patients were recorded. Surgical Masquelet tecnica During the first stage, the operative extremity was prepared and draped in the usual sterile fashion.


The area of bone loss was carefully debrided and irrigated. Debris and nonviable tissues were removed.

Careful dissection was then performed down to the fracture site and the fracture ends were identified and debrided again. Based on preoperative templating, the length, alignment, and rotation of the injured limb were obtained. Method of fixation depended on the fracture type and masquelet tecnica.

For open fracture, with significant defect, external fixator masquelet tecnica used temporarily Figure 1.


Once acceptable reduction was achieved ensuring anatomic length, alignment, and rotationfixation was undertaken.