Zeng Gerald Joseph, Foong Wei Sheng, Xu Sheng, Pang Hee Nee
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, Singapore.
Arthroplast Today. 2020 Jun 2;6(3):322-329. doi: 10.1016/j.artd.2020.04.011. eCollection 2020 Sep.
Management of large acetabular bone defects is challenging. The Masquelet technique has successfully reconstructed segmental defects in long bones arising from trauma, tumors, or infection but not been described for large acetabular defects. We present 3 cases of large acetabular bone defects arising from chronic prosthetic joint infection, treated via a novel induced membrane bone grafting technique, drawn from the Masquelet technique. All cases showed satisfactory clinical and radiological outcomes at midterm follow-up. This technique holds promise and can be an alternative means when treating large acetabular bone defects.
大型髋臼骨缺损的治疗具有挑战性。Masquelet技术已成功重建了因创伤、肿瘤或感染导致的长骨节段性缺损,但尚未见用于大型髋臼缺损的报道。我们报告了3例因慢性人工关节感染导致的大型髋臼骨缺损病例,采用了一种源自Masquelet技术的新型诱导膜骨移植技术进行治疗。所有病例在中期随访时均显示出满意的临床和影像学结果。该技术具有前景,在治疗大型髋臼骨缺损时可作为一种替代方法。