Staged treatment of a comminuted femoral fracture with Masquelet technique and 3D printed reposition guides
Background: Comminuted femoral fractures pose a challenge to the trauma surgeon due to the absence of bony references during surgery. Therefore, malalignment of length and axis can occur and necessitate revision surgery. During the last decade, 3D-planning has evolved as a surgical aid in difficult...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644022001194 |
| _version_ | 1811202093720010752 |
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| author | Raymond O Schaefer Sophie C Eberlein Frank M Klenke Johannes D Bastian Andreas Hecker |
| author_facet | Raymond O Schaefer Sophie C Eberlein Frank M Klenke Johannes D Bastian Andreas Hecker |
| author_sort | Raymond O Schaefer |
| collection | DOAJ |
| description | Background: Comminuted femoral fractures pose a challenge to the trauma surgeon due to the absence of bony references during surgery. Therefore, malalignment of length and axis can occur and necessitate revision surgery. During the last decade, 3D-planning has evolved as a surgical aid in difficult cases. Case report: An 18-year-old male patient suffered a polytrauma following a motorcycle accident. This report is about the treatment of a 3rd degree open and comminuted fracture of the left distal femur. The fracture was treated with Masquelet's two-staged technique. With the intent of avoiding malalignment, the second stage surgery was performed with the aid of 3D-planned reduction guides. Despite complex fracture pattern, complete fracture union was achieved with acceptable final alignment (side-to-side comparison of length, axis and femoral torsion). Conclusion: In this case, performing Masquelet's two-staged surgery with the aid of 3D-printed reposition guides yielded favorable results in regards to rotational malalignment. The malrotation of the femur was reduced after the second operation to a clinically acceptable side-to-side difference (10°). This technique remains technically challenging due to soft tissue tension and limited possibility of soft tissue release. |
| first_indexed | 2024-04-12T02:33:20Z |
| format | Article |
| id | doaj.art-99b334dca3d74d7a924b95ddf0a6a58a |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-04-12T02:33:20Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-99b334dca3d74d7a924b95ddf0a6a58a2022-12-22T03:51:39ZengElsevierTrauma Case Reports2352-64402022-12-0142100723Staged treatment of a comminuted femoral fracture with Masquelet technique and 3D printed reposition guidesRaymond O Schaefer0Sophie C Eberlein1Frank M Klenke2Johannes D Bastian3Andreas Hecker4Corresponding author at: Department of Orthopaedic Surgery and Traumatology, Bern University Hospital, Freiburgstrasse 4, 3010 Bern, Switzerland.; Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, SwitzerlandDepartment of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, SwitzerlandDepartment of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, SwitzerlandDepartment of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, SwitzerlandDepartment of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, SwitzerlandBackground: Comminuted femoral fractures pose a challenge to the trauma surgeon due to the absence of bony references during surgery. Therefore, malalignment of length and axis can occur and necessitate revision surgery. During the last decade, 3D-planning has evolved as a surgical aid in difficult cases. Case report: An 18-year-old male patient suffered a polytrauma following a motorcycle accident. This report is about the treatment of a 3rd degree open and comminuted fracture of the left distal femur. The fracture was treated with Masquelet's two-staged technique. With the intent of avoiding malalignment, the second stage surgery was performed with the aid of 3D-planned reduction guides. Despite complex fracture pattern, complete fracture union was achieved with acceptable final alignment (side-to-side comparison of length, axis and femoral torsion). Conclusion: In this case, performing Masquelet's two-staged surgery with the aid of 3D-printed reposition guides yielded favorable results in regards to rotational malalignment. The malrotation of the femur was reduced after the second operation to a clinically acceptable side-to-side difference (10°). This technique remains technically challenging due to soft tissue tension and limited possibility of soft tissue release.http://www.sciencedirect.com/science/article/pii/S2352644022001194Femoral fractureMalrotationMalunion3DComminutionReposition guides |
| spellingShingle | Raymond O Schaefer Sophie C Eberlein Frank M Klenke Johannes D Bastian Andreas Hecker Staged treatment of a comminuted femoral fracture with Masquelet technique and 3D printed reposition guides Trauma Case Reports Femoral fracture Malrotation Malunion 3D Comminution Reposition guides |
| title | Staged treatment of a comminuted femoral fracture with Masquelet technique and 3D printed reposition guides |
| title_full | Staged treatment of a comminuted femoral fracture with Masquelet technique and 3D printed reposition guides |
| title_fullStr | Staged treatment of a comminuted femoral fracture with Masquelet technique and 3D printed reposition guides |
| title_full_unstemmed | Staged treatment of a comminuted femoral fracture with Masquelet technique and 3D printed reposition guides |
| title_short | Staged treatment of a comminuted femoral fracture with Masquelet technique and 3D printed reposition guides |
| title_sort | staged treatment of a comminuted femoral fracture with masquelet technique and 3d printed reposition guides |
| topic | Femoral fracture Malrotation Malunion 3D Comminution Reposition guides |
| url | http://www.sciencedirect.com/science/article/pii/S2352644022001194 |
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