Combination of a free vascularised fibula and the Masquelet technique for long bone ulna defect reconstruction: A case report
We present a case of spontaneous osteomyelitis of the left ulna in a 25-year-old man. There was no history of trauma or haematogenous source identified. Bone biopsy found staphylococcus aureus on culture, sensitive to flucloxacillin, but antibiotic treatment was unsuccessful. He underwent excision o...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644022000152 |
| _version_ | 1818201725206528000 |
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| author | Edmund Hugh Wright, DPhil FRCS (Plast) Grainne Bourke, FRCSI (Plast) Peter V. Giannoudis, MD PhD FACS FRCS |
| author_facet | Edmund Hugh Wright, DPhil FRCS (Plast) Grainne Bourke, FRCSI (Plast) Peter V. Giannoudis, MD PhD FACS FRCS |
| author_sort | Edmund Hugh Wright, DPhil FRCS (Plast) |
| collection | DOAJ |
| description | We present a case of spontaneous osteomyelitis of the left ulna in a 25-year-old man. There was no history of trauma or haematogenous source identified. Bone biopsy found staphylococcus aureus on culture, sensitive to flucloxacillin, but antibiotic treatment was unsuccessful. He underwent excision of the osteomyelitic ulna and a vascularised free fibula graft (VFF graft) reconstruction of the bony defect (18 cm in length), using the ulnar artery at the wrist as recipient vessel. Six months later he was found to have radiological evidence of bony resorption at the proximal fibula-ulnar junction. He underwent resection of a 5 cm segment of the fibula flap and insertion of an antibiotic-impregnated cement spacer in preparation for the placement of bone graft as per Masquelet technique. Following bone graft placement, he united 4 months later. This case demonstrates that the Masquelet technique can be used successfully as an adjunct to VFF graft when reconstructing very long bony defects. |
| first_indexed | 2024-12-12T02:58:07Z |
| format | Article |
| id | doaj.art-b4c137ea54584b7995d46f18511ee7f8 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-12T02:58:07Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-b4c137ea54584b7995d46f18511ee7f82022-12-22T00:40:42ZengElsevierTrauma Case Reports2352-64402022-06-0139100619Combination of a free vascularised fibula and the Masquelet technique for long bone ulna defect reconstruction: A case reportEdmund Hugh Wright, DPhil FRCS (Plast)0Grainne Bourke, FRCSI (Plast)1Peter V. Giannoudis, MD PhD FACS FRCS2Departments of Plastic and Reconstructive Surgery, Leeds General Infirmary, Leeds, UK; Corresponding author at: Leeds General Infirmary, Great George Street, Leeds, West Yorkshire LS13EX, UK.Departments of Plastic and Reconstructive Surgery, Leeds General Infirmary, Leeds, UK; Leeds Institute for Medical Research, University of Leeds, Leeds, UKAcademic Department of Trauma and Orthopaedic Surgery, University of Leeds, Leeds, UKWe present a case of spontaneous osteomyelitis of the left ulna in a 25-year-old man. There was no history of trauma or haematogenous source identified. Bone biopsy found staphylococcus aureus on culture, sensitive to flucloxacillin, but antibiotic treatment was unsuccessful. He underwent excision of the osteomyelitic ulna and a vascularised free fibula graft (VFF graft) reconstruction of the bony defect (18 cm in length), using the ulnar artery at the wrist as recipient vessel. Six months later he was found to have radiological evidence of bony resorption at the proximal fibula-ulnar junction. He underwent resection of a 5 cm segment of the fibula flap and insertion of an antibiotic-impregnated cement spacer in preparation for the placement of bone graft as per Masquelet technique. Following bone graft placement, he united 4 months later. This case demonstrates that the Masquelet technique can be used successfully as an adjunct to VFF graft when reconstructing very long bony defects.http://www.sciencedirect.com/science/article/pii/S2352644022000152Vascularised free fibula graftOsteomyelitisMasqueletInduced membrane |
| spellingShingle | Edmund Hugh Wright, DPhil FRCS (Plast) Grainne Bourke, FRCSI (Plast) Peter V. Giannoudis, MD PhD FACS FRCS Combination of a free vascularised fibula and the Masquelet technique for long bone ulna defect reconstruction: A case report Trauma Case Reports Vascularised free fibula graft Osteomyelitis Masquelet Induced membrane |
| title | Combination of a free vascularised fibula and the Masquelet technique for long bone ulna defect reconstruction: A case report |
| title_full | Combination of a free vascularised fibula and the Masquelet technique for long bone ulna defect reconstruction: A case report |
| title_fullStr | Combination of a free vascularised fibula and the Masquelet technique for long bone ulna defect reconstruction: A case report |
| title_full_unstemmed | Combination of a free vascularised fibula and the Masquelet technique for long bone ulna defect reconstruction: A case report |
| title_short | Combination of a free vascularised fibula and the Masquelet technique for long bone ulna defect reconstruction: A case report |
| title_sort | combination of a free vascularised fibula and the masquelet technique for long bone ulna defect reconstruction a case report |
| topic | Vascularised free fibula graft Osteomyelitis Masquelet Induced membrane |
| url | http://www.sciencedirect.com/science/article/pii/S2352644022000152 |
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