TY - JOUR
T1 - Femoral bone defects managed with the induced-membrane technique
T2 - Our Preferred method of treatment
AU - Stafford, Paul
AU - Norris, Brent
AU - Dadgar, Azad
AU - Calder, Mark
N1 - Publisher Copyright:
Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Although there are several options for treating femoral bone defects resulting from trauma or nonunion surgery, the inducedmembrane technique is now our treatment of choice. The technique consists of 2 stages, and both are critical to successful treatment. Stage 1 begins with debridement of bone and soft tissue and concludes with insertion of a cement spacer, bone stabilization, and soft-tissue coverage. Stage 2 is typically delayed 4 weeks or more and consists of carefully opening the induced membrane, removing the spacer, and inserting bone graft. While many studies show excellent union rates, good outcomes are technique dependent and the treating surgeon should be careful to avoid common surgical pitfalls. In addition, patient biology must be considered and optimized to further improve union rates and outcomes.
AB - Although there are several options for treating femoral bone defects resulting from trauma or nonunion surgery, the inducedmembrane technique is now our treatment of choice. The technique consists of 2 stages, and both are critical to successful treatment. Stage 1 begins with debridement of bone and soft tissue and concludes with insertion of a cement spacer, bone stabilization, and soft-tissue coverage. Stage 2 is typically delayed 4 weeks or more and consists of carefully opening the induced membrane, removing the spacer, and inserting bone graft. While many studies show excellent union rates, good outcomes are technique dependent and the treating surgeon should be careful to avoid common surgical pitfalls. In addition, patient biology must be considered and optimized to further improve union rates and outcomes.
KW - Bone defects
KW - Induced membrane
KW - Masquelet
KW - Nonunion femur fracture
UR - http://www.scopus.com/inward/record.url?scp=84959209503&partnerID=8YFLogxK
U2 - 10.1097/BTO.0000000000000164
DO - 10.1097/BTO.0000000000000164
M3 - Review article
AN - SCOPUS:84959209503
SN - 0885-9698
VL - 31
SP - 42
EP - 50
JO - Techniques in Orthopaedics
JF - Techniques in Orthopaedics
IS - 1
ER -