Masquelet technique for management of posttraumatic bone defect in a patient of chronic osteomyelitis of long bone

Authors

  • Lokesh Thakur Department of Orthopaedics, Rajendra Prasad Government Medical College, Kangra, Tanda, Himachal Pradesh, India
  • Sarvesh Kumar Singh Department of Orthopaedics, Rajendra Prasad Government Medical College, Kangra, Tanda, Himachal Pradesh, India http://orcid.org/0000-0001-5641-3419
  • Sunny Dua Department of Orthopaedics, Rajendra Prasad Government Medical College, Kangra, Tanda, Himachal Pradesh, India
  • Devinder Kumar Department of Orthopaedics, Rajendra Prasad Government Medical College, Kangra, Tanda, Himachal Pradesh, India
  • Manish Sharma Department of Orthopaedics, Rajendra Prasad Government Medical College, Kangra, Tanda, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20211634

Keywords:

Masquelet technique, Posttraumatic, Chronic osteomyelitis, Bone defects

Abstract

Masquelet technique, which is the use of a temporary cement spacer followed by staged bone grafting, is a treatment strategy for reconstruction of large, infected, bone defects. This paper describes a patient treated with this technique to successfully manage postinfective or posttraumatic osseous long bone defect. Sequestrectomy was done and the injured limb was stabilized and aligned with application of external fixator at the time of initial antibiotic cement spacer placement. After 6 weeks of proper antibiotic coverage, all antibiotics were stopped for next 2 weeks. Clinical evaluation and investigations were done to rule out any residual infection. Osseous consolidation was successfully achieved with staged bone grafting and internal stabilization of long bone defect.

Author Biography

Sarvesh Kumar Singh, Department of Orthopaedics, Rajendra Prasad Government Medical College, Kangra, Tanda, Himachal Pradesh, India

DEPARTMENT OF ORTHOPAEDICS

RESIDENT DOCTOR

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Published

2021-04-26

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Section

Case Reports