Chloros George D, Kanakaris Nikolaos K, Harwood Paul J, Giannoudis Peter V
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds.
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, United Kingdom.
OTA Int. 2022 Apr 18;5(2 Suppl):e170. doi: 10.1097/OI9.0000000000000170. eCollection 2022 Apr.
To report our experience and clinical results of using the Masquelet technique for the treatment of tibial nonunions and acute traumatic tibial bone defects.
Retrospective study of prospectively collected data (Level IV).
Level I trauma center in the UK.
PATIENTS/PARTICIPANTS: Consecutive patients with tibial nonunions and open fractures associated with bone loss.Intervention: Two-stage Masquelet Procedure for the tibia.
Clinical and imaging assessment at 6 weeks, 3,6,9,12 months, or until pain-free mobilization and union.
There were 17 eligible patients, with a mean size of bone defect of 6 cm (range, 4-8 cm) and an 88.2% union rate at a mean of 8 months (range 5-18 months). Mean range of motion was 95 degrees of knee flexion (range 80°-130°). All patients but 2 returned to their previous occupation.
The Masquelet technique is simple, effective, and has a high rate of success for the management of a variety of situations including acute bone loss or infected nonunions and is associated with a low incidence of complications.
报告我们使用Masquelet技术治疗胫骨骨不连和急性创伤性胫骨骨缺损的经验及临床结果。
对前瞻性收集的数据进行回顾性研究（IV级）。
英国的I级创伤中心。
患者/参与者：连续的胫骨骨不连和伴有骨质缺损的开放性骨折患者。
针对胫骨的两阶段Masquelet手术。
在6周、3、6、9、12个月时进行临床和影像学评估，或直至无痛活动和骨愈合。
有17例符合条件的患者，平均骨缺损大小为6厘米（范围4 - 8厘米），平均8个月（范围5 - 18个月）时骨愈合率为88.2%。平均膝关节活动范围为屈曲95度（范围80° - 130°）。除2例患者外，所有患者均恢复了之前的工作。
Masquelet技术简单、有效，在处理包括急性骨质缺损或感染性骨不连等多种情况时成功率高，且并发症发生率低。
