Treating post-traumatic osteomyelitis of a metacarpal fracture with the ‘mini-masquelet’ procedure
Background: Post-traumatic osteomyelitis is a challenging complication after a fracture, requiring long-term treatment to prevent loss of function. One treatment strategy is the biphasic masquelet technique, focussing on both control of the infection and bone reconstruction. This technique is mainly...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023001929 |
| _version_ | 1797405391973253120 |
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| author | Lydian Huisman Eelke Bosma |
| author_facet | Lydian Huisman Eelke Bosma |
| author_sort | Lydian Huisman |
| collection | DOAJ |
| description | Background: Post-traumatic osteomyelitis is a challenging complication after a fracture, requiring long-term treatment to prevent loss of function. One treatment strategy is the biphasic masquelet technique, focussing on both control of the infection and bone reconstruction. This technique is mainly used to treat defects of the long bones. Very little literature exists about the masquelet procedure for treatment of defects of smaller bones. We describe a case of post-traumatic osteomyelitis after a metacarpal fracture, treated with the ‘mini-masquelet’ technique. Patient case: A 23-year old woman was treated with the masquelet procedure for osteomyelitis and bone loss following a metacarpal IV fracture of her right hand. After 29 weeks, she had full range of motion of both the hand and fingers. Conclusion: The ‘mini-masquelet’ technique as a strategy to treat osteomyelitis and reconstruct bone loss after a metacarpal fracture, can reduce potential loss of function and loss of quality of life. This technique appears to be widely applicable for treatment of complex hand injuries and osteomyelitis of the hand. |
| first_indexed | 2024-03-09T03:09:32Z |
| format | Article |
| id | doaj.art-f64fa3cf0c6645839b300a3f61938b8a |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-03-09T03:09:32Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-f64fa3cf0c6645839b300a3f61938b8a2023-12-04T05:23:17ZengElsevierTrauma Case Reports2352-64402023-12-0148100945Treating post-traumatic osteomyelitis of a metacarpal fracture with the ‘mini-masquelet’ procedureLydian Huisman0Eelke Bosma1, Dept. of Surgery, University Medical Center Groningen, Hanzeplein 1, 9713GZ Groningen, the Netherlands; Corresponding author at: University Medical Center Groningen (UMCG), Dept. Surgery, Education, Inhouse PC: BA.41, P.O. box: 30.001, 9700 RB Groningen, the Netherlands.Dept. of Surgery, Martini Ziekenhuis Groningen, Van Swietenplein 1, 9728NT Groningen, the NetherlandsBackground: Post-traumatic osteomyelitis is a challenging complication after a fracture, requiring long-term treatment to prevent loss of function. One treatment strategy is the biphasic masquelet technique, focussing on both control of the infection and bone reconstruction. This technique is mainly used to treat defects of the long bones. Very little literature exists about the masquelet procedure for treatment of defects of smaller bones. We describe a case of post-traumatic osteomyelitis after a metacarpal fracture, treated with the ‘mini-masquelet’ technique. Patient case: A 23-year old woman was treated with the masquelet procedure for osteomyelitis and bone loss following a metacarpal IV fracture of her right hand. After 29 weeks, she had full range of motion of both the hand and fingers. Conclusion: The ‘mini-masquelet’ technique as a strategy to treat osteomyelitis and reconstruct bone loss after a metacarpal fracture, can reduce potential loss of function and loss of quality of life. This technique appears to be widely applicable for treatment of complex hand injuries and osteomyelitis of the hand.http://www.sciencedirect.com/science/article/pii/S2352644023001929OsteomyelitisFractureMetacarpusMasquelet |
| spellingShingle | Lydian Huisman Eelke Bosma Treating post-traumatic osteomyelitis of a metacarpal fracture with the ‘mini-masquelet’ procedure Trauma Case Reports Osteomyelitis Fracture Metacarpus Masquelet |
| title | Treating post-traumatic osteomyelitis of a metacarpal fracture with the ‘mini-masquelet’ procedure |
| title_full | Treating post-traumatic osteomyelitis of a metacarpal fracture with the ‘mini-masquelet’ procedure |
| title_fullStr | Treating post-traumatic osteomyelitis of a metacarpal fracture with the ‘mini-masquelet’ procedure |
| title_full_unstemmed | Treating post-traumatic osteomyelitis of a metacarpal fracture with the ‘mini-masquelet’ procedure |
| title_short | Treating post-traumatic osteomyelitis of a metacarpal fracture with the ‘mini-masquelet’ procedure |
| title_sort | treating post traumatic osteomyelitis of a metacarpal fracture with the mini masquelet procedure |
| topic | Osteomyelitis Fracture Metacarpus Masquelet |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023001929 |
| work_keys_str_mv | AT lydianhuisman treatingposttraumaticosteomyelitisofametacarpalfracturewiththeminimasqueletprocedure AT eelkebosma treatingposttraumaticosteomyelitisofametacarpalfracturewiththeminimasqueletprocedure |