Rincón-Cardozo D F, Camacho-Casas J A, Reyes-Núñez V A
Acta Ortop Mex. 2013 Jan-Feb;27(1):55-9.
The induced membrane technique was first described by Masquelet in 1986. It was initially used for the reconstruction of long bone shaft defects, particularly of the femur and tibia. The technique consists of two stages. During the first stage a membrane is induced to provide support to the grafts and supply growth factors that contribute to provide a favorable receiving bed for the future graft. During the second stage the poly-methyl-methacrylate spacer is removed and replaced with bone grafts, usually harvested from the iliac crest. Given that this technique has proven good results, it started to be used at other bone sites. We present herein the case of a patient with a large bone defect in the midfoot in whom the Masquelet technique was used with iliac crest grafts. Arthrodesis with a distal radius plate was performed to improve medial column stability, with favorable clinical and functional results.
诱导膜技术于1986年由马斯克莱首次描述。它最初用于长骨干缺损的重建，尤其是股骨和胫骨。该技术包括两个阶段。在第一阶段，诱导形成一层膜，为移植物提供支撑并提供生长因子，有助于为未来的移植物提供良好的接受床。在第二阶段，取出聚甲基丙烯酸甲酯间隔物，并用通常取自髂嵴的骨移植物进行替换。鉴于该技术已被证明有良好效果，它开始被用于其他骨部位。我们在此介绍一名中足有大骨缺损的患者的病例，该患者采用了带髂嵴移植物的马斯克莱技术。使用桡骨远端钢板进行关节融合术以改善内侧柱稳定性，取得了良好的临床和功能效果。
