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Case Reports
. 2021 Oct 25:36:100550.
doi: 10.1016/j.tcr.2021.100550. eCollection 2021 Dec.

Wrist fusion using an induced membrane technique for forearm salvage in a patient with an infected open injury with segmental bone loss: A case report

James M Y Chowdhury  1 , Daniel J Wilks  1 , Waseem Bhat  1 , Sam Vollans  1 , Nicholas Foster  1 , Jay Wiper  1 , Paul J Harwood  1
Affiliations
Case Reports

Wrist fusion using an induced membrane technique for forearm salvage in a patient with an infected open injury with segmental bone loss: A case report

James M Y Chowdhury et al. Trauma Case Rep. .

Erratum in

Abstract

This case report describes the management of a 27-year-old male who, after a quadbike accident, presented with an open, infected, segmental both bone forearm injury with significant bone and soft tissue loss including the radio-carpal joint. Limb salvage was accomplished in the form of a single bone forearm fusion utilising Masquelet's two-stage induced membrane technique to reconstruct the segmental bone defect. The patient proceeded to uneventful bony union by 6 months and returned to driving and riding a quadbike. Despite significant deep infection, successful salvage was achieved using the induced membrane technique. Critical to success was aggressive, repeated debridement alongside restoration of vascular supply and reconstruction of soft tissue defects. We highlight the multidisciplinary approach to management including relevant specialists with a particular interest in limb reconstruction.

Keywords: Bone defect; Forearm; Fracture; Induced membrane; Limb salvage; Masquelet; Reconstruction.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
Clinical photographs and x-rays on presentation to our unit.
Fig. 2
Fig. 2
Clinical photographs and x-rays post debridement.
Fig. 3
Fig. 3
Clinical photographs and x-rays after cement spacer insertion.
Fig. 4
Fig. 4
Clinical photographs post debulking, and x-rays demonstrating union.
See this image and copyright information in PMC

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