Treatment of a Ballistic Radius Fracture with Segmental Bone Loss Using the Masquelet Technique in a Child: A Case Report
- PMID: 37708323
- DOI: 10.2106/JBJS.CC.23.00305
Treatment of a Ballistic Radius Fracture with Segmental Bone Loss Using the Masquelet Technique in a Child: A Case Report
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.
Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.
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
- 
    - 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.
 
- 
    - 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.
 
- 
    - 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.
 
- 
    - 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.
 
- 
    - 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.
 
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