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诱导膜技术(Masquelet)治疗胫骨下段、足部和踝关节的骨缺损:系统评价、病例报告、技巧和技术。

Induced Membrane Technique (Masquelet) for Bone Defects in the Distal Tibia, Foot, and Ankle: Systematic Review, Case Presentations, Tips, and Techniques.

机构信息

Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, Leeds General Infirmary, Clarendon Wing, Floor D, Great George Street, Leeds LS1 3EX, UK.

Department of Orthopaedic Surgery, Avicenne Hospital AP-HP, 123, route de Stalingrad, Bobiny 93009, France.

出版信息

Foot Ankle Clin. 2020 Dec;25(4):537-586. doi: 10.1016/j.fcl.2020.08.013.

DOI:10.1016/j.fcl.2020.08.013
PMID:33543716
Abstract

Bone defects to the distal tibia, foot, and ankle can be challenging to reconstruct. The induced membrane (Masquelet) technique has become an established method of repair for challenging areas of bone loss. It has been applied in acute open fractures, chronic nonunion, osteomyelitis, and gout erosion. This article presents a systematic review of distal tibia, foot, and ankle results using the Masquelet procedure, which should be considered in cases of challenging critical bone loss. Further work is needed to present large studies of the procedure on foot and ankle patients to consolidate current knowledge.

摘要

胫骨下段、足部和踝关节的骨缺损重建具有挑战性。诱导膜(Masquelet)技术已成为修复骨缺损的一种成熟方法。该技术已应用于急性开放性骨折、慢性骨不连、骨髓炎和痛风性侵蚀。本文对 Masquelet 技术治疗胫骨下段、足部和踝关节的结果进行了系统回顾,对于有挑战性的严重骨缺损病例,应考虑使用该技术。需要进一步开展足部和踝关节患者的大量研究来巩固现有知识。

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