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Published in: International Orthopaedics 1/2019

01-01-2019 | Original Paper

Induced membrane technique for the treatment of severe acute tibial bone loss: preliminary experience at medium-term follow-up

Authors: Mario Ronga, Mario Cherubino, Katia Corona, Alessandro Fagetti, Barbara Bertani, Luigi Valdatta, Redento Mora, Paolo Cherubino

Published in: International Orthopaedics | Issue 1/2019

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Abstract

Purpose

Management of acute open tibial fractures with critical bone defect remains a challenge in trauma surgery. Few and heterogeneous cases have been reported about the treatment with the induced membrane technique.

Methods

We prospectively evaluated three patients treated with the induced membrane technique for acute Gustilo IIIB tibial fractures with critical bone defect. Success treatment was defined by bone union with patient pain free. Clinical and radiological evaluations were performed regularly until healing, then annually and with a minimum follow-up of five years.

Results

In all patients but one, a success was recorded, respectively, at four and six months. These two patients were pain free until the final follow-up, and no graft resorption or secondary complications related to the index surgery were observed. The third case was managed successfully with a bone transport technique.

Conclusion

The induced membrane technique is an alternative good option for the treatment of these severe lesions.
Literature
3.
go back to reference Yokoyama K, Itoman M, Nakamura K, Tsukamoto T, Saita Y, Aoki S (2001) Free vascularized fibular graft vs Ilizarov method for post-traumatic tibial bone defect. J Reconstr Microsurg 17(1):17–25 Yokoyama K, Itoman M, Nakamura K, Tsukamoto T, Saita Y, Aoki S (2001) Free vascularized fibular graft vs Ilizarov method for post-traumatic tibial bone defect. J Reconstr Microsurg 17(1):17–25
4.
go back to reference Masquelet AC, Fitoussi F, Bégué T, Muller GP (2000) Reconstruction of the long bones by the induced membrane and spongy autograft. Ann Chir Plast Esthet 45:346–353 Masquelet AC, Fitoussi F, Bégué T, Muller GP (2000) Reconstruction of the long bones by the induced membrane and spongy autograft. Ann Chir Plast Esthet 45:346–353
20.
go back to reference Rousset M, Walle M, Cambou L, Mansour M, Samba A, Pereira B, Ghanem I, Canavese F (2018) Chronic infection and infected non-union of the long bones in paediatric patients: preliminary results of bone versus beta-tricalcium phosphate grafting after induced membrane formation. Int Orthop 42(2):385–396. https://doi.org/10.1007/s00264-017-3693-x CrossRefPubMed Rousset M, Walle M, Cambou L, Mansour M, Samba A, Pereira B, Ghanem I, Canavese F (2018) Chronic infection and infected non-union of the long bones in paediatric patients: preliminary results of bone versus beta-tricalcium phosphate grafting after induced membrane formation. Int Orthop 42(2):385–396. https://​doi.​org/​10.​1007/​s00264-017-3693-x CrossRefPubMed
21.
24.
go back to reference Li D, Hu Q, Kang P, Yang J, Zhou Z, Shen B, Pei F (2018) Reconstructed the bone stock after femoral bone loss in Vancouver B3 periprosthetic femoral fractures using cortical strut allograft and impacted cancellous allograft. Int Orthop. https://doi.org/10.1007/s00264-018-3997-5 Li D, Hu Q, Kang P, Yang J, Zhou Z, Shen B, Pei F (2018) Reconstructed the bone stock after femoral bone loss in Vancouver B3 periprosthetic femoral fractures using cortical strut allograft and impacted cancellous allograft. Int Orthop. https://​doi.​org/​10.​1007/​s00264-018-3997-5
25.
go back to reference Giannoudis PV, Einhorn TA, Marsh D (2007) Fracture healing: the diamond concept. Injury 38(Suppl):S3–S6CrossRef Giannoudis PV, Einhorn TA, Marsh D (2007) Fracture healing: the diamond concept. Injury 38(Suppl):S3–S6CrossRef
27.
go back to reference Govender S, Csimma C, Genant HK et al (2002) Recombinant human bone morphogenetic protein-2 for treatment of open tibial fractures: a prospective, controlled, randomized study of four hundred and fifty patients. J Bone Joint Surg Am 84-A(12):2123–2134CrossRef Govender S, Csimma C, Genant HK et al (2002) Recombinant human bone morphogenetic protein-2 for treatment of open tibial fractures: a prospective, controlled, randomized study of four hundred and fifty patients. J Bone Joint Surg Am 84-A(12):2123–2134CrossRef
Metadata
Title
Induced membrane technique for the treatment of severe acute tibial bone loss: preliminary experience at medium-term follow-up
Authors
Mario Ronga
Mario Cherubino
Katia Corona
Alessandro Fagetti
Barbara Bertani
Luigi Valdatta
Redento Mora
Paolo Cherubino
Publication date
01-01-2019
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 1/2019
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-018-4164-8

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