Fischer C, Schipper S, Langwald S, Klauke F, Kobbe P, Mendel T, Hückstädt M
Klinik für Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle, Merseburger Straße 165, 06112, Halle (Saale), Deutschland.
Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Halle, Ernst-Grube-Straße 40, 06120, Halle (Saale), Deutschland.
Unfallchirurgie (Heidelb). 2024 Oct;127(10):729-737. doi: 10.1007/s00113-024-01474-6. Epub 2024 Aug 7.
The reconstruction of long bone defects as a result of primary traumatic, secondary infection or tumor-related loss of substance continues to represent a surgical challenge. Callus distraction via segment transport, vascularized bone transfer and the induced membrane technique (IMT) are established methods of reconstruction. In recent decades IMT has experienced increasing popularity due to its practicability, reproducibility and reliability. At the same time, the original technique has undergone numerous modifications. The results are correspondingly heterogeneous. This overview is intended to explain the basic principles of IMT and to provide an overview of the various modifications and their complications.
由于原发性创伤、继发性感染或肿瘤相关的骨质缺损导致的长骨缺损重建仍然是一项外科挑战。通过骨段转移进行骨痂牵张、带血管骨移植和诱导膜技术(IMT)是已确立的重建方法。近几十年来,诱导膜技术因其实用性、可重复性和可靠性而越来越受欢迎。与此同时,该原始技术也经历了多次改良。其结果相应地存在异质性。本综述旨在解释诱导膜技术的基本原理,并概述各种改良方法及其并发症。