Keywords
Induced Membrane Technique; Large Bone Defect; Chronic Osteomyelitis; Femoral Diaphysis Fracture; Case Report
Abstract
Introduction and Importance: The management of post traumatic long bone osteomyelitis remains a challenging clinical problem. Multiple methods are described to treat large bone gaps, which are defined as segmental defects > 6 cm. The induced membrane technique de Masquelet constitutes a contribution for bone reconstruction in these cases.
Case Presentation: A 56-year-old man, admitted in March 2023 for proximal left femoral diaphysis fracture due to after-effects of chronic osteomyelitis since 2012. Last septic episode dates back to 2013. The patient did not present any cutaneous or vascular complications. the infectious assessment is negative. The patient underwent emergency immobilization using an external fixator type orthofix, then the fracture was treated using the two-stage induced membrane technique according to Masquelet.
Clinical Discussion: The management of long bone fractures resulting from chronic osteomyelitis remains a challenge. The bone defect after debridement is often significant, its reconstruction is difficult because it requires several techniques and operating times. As used in our case, the induced membrane technique, described for the first time by Masquelet in 1986, is a benefit for these fractures resulting from chronic osteomyelitis where the bone gap after debridement is often significant: gives time to control an infection and poses a reconstruction problem.
Conclusion: Large segmental bone defects can be managed using several methods. The induced membrane technique of bone reconstruction first proposed by Masquelet for large bone defects constitutes the gold standard for two-stage bone reconstruction.
Citation
Filali Z, Briki A, Ferjani S, Oueslati A, Mohamed SH, et al. (2024) Treatment of Post Traumatic Femoral Bone Osteomyelitis Using Induced Membrane Technique: A Case Report. SM J Orthop 7: 6.