Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Sep 14;13(3).
doi: 10.2106/JBJS.CC.23.00305. eCollection 2023 Jul 1.

Treatment of a Ballistic Radius Fracture with Segmental Bone Loss Using the Masquelet Technique in a Child: A Case Report

Affiliations
Case Reports

Treatment of a Ballistic Radius Fracture with Segmental Bone Loss Using the Masquelet Technique in a Child: A Case Report

Sina Kazemzadeh et al. JBJS Case Connect. .

Abstract

Case: A 4-year-old boy sustained an accidental self-inflicted gunshot wound to the left forearm. Radiographs revealed a comminuted mid-diaphyseal ballistic radius fracture with a critical-sized bone defect. The fracture was treated with the placement of a flexible intramedullary nail and antibiotic cement spacer, followed by second-stage bone grafting and open reduction and internal fixation of the radius 6 weeks later. Four months after the second-stage procedure, the radial defect healed appropriately without complications.

Conclusion: In this case of a pediatric comminuted mid-diaphyseal radius fracture with bone loss, the induced membrane technique resulted in healing across a critical-sized bone defect.

PubMed Disclaimer

Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C205).

References

    1. Demir T, Kilinccioglu NK, Dogramaci Y. Treatment of Gustilo-Anderson type III open fractures with segmental long bone loss secondary to gunshot and war ınjurıes in paediatric patients with bone segment transport by the limb reconstructıon system (LRS). Injury. 2023;54(4):1138-43.
    1. Sales de Gauzy J, Fitoussi F, Jouve JL, Karger C, Badina A, Masquelet AC; French Society of Orthopaedic Surgery and Traumatology (SoFCOT). Traumatic diaphyseal bone defects in children. Orthop Traumatol Surg Res. 2012;98(2):220-6.
    1. Yee MA, Mead MP, Alford AI, Hak DJ, Mauffrey C, Hake ME. Scientific understanding of the induced membrane technique: current status and future directions. J Orthop Trauma. 2017;31(suppl 5):S3-8.
    1. Masquelet A, Kanakaris NK, Obert L, Stafford P, Giannoudis PV. Bone repair using the Masquelet technique. J Bone Joint Surg Am. 2019;101(11):1024-36.
    1. Morelli I, Drago L, George DA, Romanò D, Romanò CL. Managing large bone defects in children: a systematic review of the ‘induced membrane technique’. J Pediatr Orthop B. 2018;27(5):443-55.

Publication types

Substances

LinkOut - more resources