Post-Traumatic Bone Loss of the Femur Treated with Induced Membrane Techniqueand Segmental Bone Allograft

Authors

  • Pongsak Thitiphundumrong M.D., Bangsaphan Hospital

Keywords:

post-traumatic femoral bone loss, induced membrane technique

Abstract

Abstract

          Reconstruction of long bone diaphyseal defect from fracture remains a challenge for the orthopaedic surgeon. The most common and widely accepted procedures are the free vascularized bone transfer and the Ilizalov bone transport. When a diaphyseal defect larger than 6 cm is reconstructed with autologous bone grafts, healing is incomplete because of graft resorption.

          In the presenting case report, the 16-years-old man was admitted to our emergency department after motorcycle accident. Large laceration wound at right thigh about 15cmwithbone exposure was encountered. The open fracture of right femoral shaft with bone loss about 12 cm was diagnosed, andclassified as a Gustilo IIIA.

After throughly debridement, the reconstruction comprised of 2 stages. In the first stage, the fracture was fixed with an external fixator and bone cement spacer was placed into the bone defect after healing of the wound for induction of membranous tissue. The second stage was performed 3 month later, the cement was removed and the cavity formed by induced membrane was filled up with bone allograft.The fracture was finally fixed by double locking plates. Bone healing was achieved after 6 months.

References

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6. Aponte-Tinao LA, Ayerza MA, Muscolo DL, et al. Should fractures in massive intercalary bone allografts of the lower limb be treated with ORIF or with a new allografts. ClinOrthopRelat Res. 2015;473:805-11.

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Published

2020-09-30

How to Cite

1.
Thitiphundumrong M.D., P. Post-Traumatic Bone Loss of the Femur Treated with Induced Membrane Techniqueand Segmental Bone Allograft. Reg 4-5 Med J [internet]. 2020 Sep. 30 [cited 2025 Dec. 31];39(3):510-5. available from: https://he02.tci-thaijo.org/index.php/reg45/article/view/246206

Issue

Vol. 39 No. 3 (2020):   July - September 2020

Section

Case Report

License

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