Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Chin J Traumatol. 2022 Nov;25(6):389-391. doi: 10.1016/j.cjtee.2021.09.002. Epub 2021 Sep 17.
Masquelet technique is one of the modalities for the treatment of long bone defect. Using cancellous bone graft to fill the bone defect is always a concern in children due to the small size of their iliac crest and open growth plate. We reported a case of 13-year-old male who presented with gap non-union of middle third of tibia. We applied a modified Masquelet technique by using only the cortical fibular graft instead of cancellous bone to fill the space surrounded by induced membrane. Fibula was used as a nonvascularized strut graft and matched stick graft to achieve complete union. We concluded that nonvascularized fibula grafting is an easy and effective option to fill the bone defect in children in the second stage of Masquelet technique.
Masquelet 技术是治疗长骨缺损的方法之一。由于髂嵴较小且骺板未闭合，使用松质骨移植物填充儿童的骨缺损一直是一个关注点。我们报告了 1 例 13 岁男性患者，其胫骨中段存在间隙性不愈合。我们应用改良的 Masquelet 技术，仅使用皮质腓骨移植物而不是松质骨来填充诱导膜周围的空间。腓骨用作非血管化支撑移植物，并匹配棒状移植物以实现完全愈合。我们得出结论，非血管化腓骨移植是 Masquelet 技术第二阶段填充儿童骨缺损的一种简单有效的选择。
