Application of double plate fixation combined with Masquelet technique for large segmental bone defects of distal tibia: a retrospective study and literature review
Abstract Background There is no effective consensus on the choice of internal fixation method for the Masquelet technique in the treatment of large segmental bone defects of the distal tibia. Thus, the study aimed to investigate the outcomes of the Masquelet technique combined with double plate fixa...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-024-02396-1 |
| _version_ | 1827284510120607744 |
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| author | Zhaohui Wang Chengyou Zou Xiaohuan Zhan Xianhui Li Guocai Ghen Junqing Gao |
| author_facet | Zhaohui Wang Chengyou Zou Xiaohuan Zhan Xianhui Li Guocai Ghen Junqing Gao |
| author_sort | Zhaohui Wang |
| collection | DOAJ |
| description | Abstract Background There is no effective consensus on the choice of internal fixation method for the Masquelet technique in the treatment of large segmental bone defects of the distal tibia. Thus, the study aimed to investigate the outcomes of the Masquelet technique combined with double plate fixation in the treatment of large segmental bone defects. Methods This was a retrospective study involving 21 patients with large segmental bone defects of the distal tibia who were treated between June 2017 and June 2020. The length of bone defect ranged from 6.0 cm to 11 cm (mean, 8.19 cm). In the first stage of treatment, following complete debridement, a cement spacer was placed to induce membrane formation. In the second stage, double plate fixation and autologous cancellous bone grafting were employed for bone reconstruction. Each patient’s full weight-bearing time, bone healing time, and Iowa ankle score were recorded, and the occurrence of any complications was noted. Results All patients were followed up for 16 to 26 months (mean, 19.48 months). The group mean full weight-bearing time and bone healing time after bone grafting were 2.41 (± 0.37) months and 6.29 (± 0.66) months, respectively. During the treatment, one patient had a wound infection on the medial side of the leg, so the medial plate was removed. The wound completely healed after debridement without any recurrence. After extraction of iliac bone for grafting, one patient had a severe iliac bone defect, which was managed by filling the gap with a cement spacer. Most patients reported mild pain in the left bone extraction area after surgery. The postoperative Iowa ankle score range was 84–94 (P < 0.05). In this cohort, 15 cases were rated as “excellent”, and 6 cases as “good” on the Iowa ankle scoring system. Conclusion The Masquelet technique combined with double plate fixation is a safe and effective method for the treatment of large segmental bone defects of the distal tibia. |
| first_indexed | 2024-04-24T09:56:37Z |
| format | Article |
| id | doaj.art-5c145b508d0e4f39a630bb184f900a63 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-24T09:56:37Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-5c145b508d0e4f39a630bb184f900a632024-04-14T11:06:40ZengBMCBMC Surgery1471-24822024-04-0124111010.1186/s12893-024-02396-1Application of double plate fixation combined with Masquelet technique for large segmental bone defects of distal tibia: a retrospective study and literature reviewZhaohui Wang0Chengyou Zou1Xiaohuan Zhan2Xianhui Li3Guocai Ghen4Junqing Gao5Affiliated Foshan Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese MedicineThe Eighth Affiliated Hospital of Chinese Medicine, Guangzhou University of Chinese MedicineAffiliated Foshan Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese MedicineThe Eighth Affiliated Hospital of Chinese Medicine, Guangzhou University of Chinese MedicineAffiliated Foshan Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese MedicineAffiliated Foshan Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese MedicineAbstract Background There is no effective consensus on the choice of internal fixation method for the Masquelet technique in the treatment of large segmental bone defects of the distal tibia. Thus, the study aimed to investigate the outcomes of the Masquelet technique combined with double plate fixation in the treatment of large segmental bone defects. Methods This was a retrospective study involving 21 patients with large segmental bone defects of the distal tibia who were treated between June 2017 and June 2020. The length of bone defect ranged from 6.0 cm to 11 cm (mean, 8.19 cm). In the first stage of treatment, following complete debridement, a cement spacer was placed to induce membrane formation. In the second stage, double plate fixation and autologous cancellous bone grafting were employed for bone reconstruction. Each patient’s full weight-bearing time, bone healing time, and Iowa ankle score were recorded, and the occurrence of any complications was noted. Results All patients were followed up for 16 to 26 months (mean, 19.48 months). The group mean full weight-bearing time and bone healing time after bone grafting were 2.41 (± 0.37) months and 6.29 (± 0.66) months, respectively. During the treatment, one patient had a wound infection on the medial side of the leg, so the medial plate was removed. The wound completely healed after debridement without any recurrence. After extraction of iliac bone for grafting, one patient had a severe iliac bone defect, which was managed by filling the gap with a cement spacer. Most patients reported mild pain in the left bone extraction area after surgery. The postoperative Iowa ankle score range was 84–94 (P < 0.05). In this cohort, 15 cases were rated as “excellent”, and 6 cases as “good” on the Iowa ankle scoring system. Conclusion The Masquelet technique combined with double plate fixation is a safe and effective method for the treatment of large segmental bone defects of the distal tibia.https://doi.org/10.1186/s12893-024-02396-1Masquelet techniqueDouble plate fixationCement spacerInduced membraneDistal tibia |
| spellingShingle | Zhaohui Wang Chengyou Zou Xiaohuan Zhan Xianhui Li Guocai Ghen Junqing Gao Application of double plate fixation combined with Masquelet technique for large segmental bone defects of distal tibia: a retrospective study and literature review BMC Surgery Masquelet technique Double plate fixation Cement spacer Induced membrane Distal tibia |
| title | Application of double plate fixation combined with Masquelet technique for large segmental bone defects of distal tibia: a retrospective study and literature review |
| title_full | Application of double plate fixation combined with Masquelet technique for large segmental bone defects of distal tibia: a retrospective study and literature review |
| title_fullStr | Application of double plate fixation combined with Masquelet technique for large segmental bone defects of distal tibia: a retrospective study and literature review |
| title_full_unstemmed | Application of double plate fixation combined with Masquelet technique for large segmental bone defects of distal tibia: a retrospective study and literature review |
| title_short | Application of double plate fixation combined with Masquelet technique for large segmental bone defects of distal tibia: a retrospective study and literature review |
| title_sort | application of double plate fixation combined with masquelet technique for large segmental bone defects of distal tibia a retrospective study and literature review |
| topic | Masquelet technique Double plate fixation Cement spacer Induced membrane Distal tibia |
| url | https://doi.org/10.1186/s12893-024-02396-1 |
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