A load-sharing nail - cage construct may improve outcome after induced membrane technique for segmental tibial defects

Gavaskar, Ashok S.; Parthasarathy, Srinivasan; Balamurugan, J; Raj, Rufus V; Chander, Vijay S; Ananthkrishnan, L.K.

doi:10.1016/j.injury.2019.11.031

Cited by 13 publications

(7 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study using the IMT with nail-cage construct, unions reported all 21 tibia segmental bone defects. 24 Although union was obtained from all 18 patients in this study, 3 patients required a repeated bone graft and additional plate fixation. It is believed that with the use of interpositional cages, these additional procedures can be reduced.…”

Section: Discussionmentioning

confidence: 78%

Treatment of Critical-Sized Bone Defects Involving the Ankle Joints: Staged Tibiotalocalcaneal Arthrodesis With Induced Membrane Technique and Intramedullary Nail

Choi

Park

et al. 2022

Journal of Orthopaedic Trauma

View full text Add to dashboard Cite

Objectives: To report the outcomes of staged tibiotalocalcaneal (TTC) arthrodesis for critical-sized bone defects involving the ankle joints.Design: Retrospective review of case series.Setting: Two academic Level 1 trauma centers.Patients/Participants: The study included 20 patients with critical-sized ($2 cm) segmental bone defects around the ankle joints.Intervention: Staged TTC arthrodesis was performed with induced membrane technique and retrograde intramedullary nail. Main Outcome Measurements:We investigated the radiological evaluation, including modified radiographic union scale for tibia fractures score, time to union, and leg length discrepancy, and functional outcomes using foot and ankle outcome score and American Orthopaedic Foot and Ankle Society ankle-hindfoot score. Results:The average bone defect was 6.4 cm (range: 2.4-12.3).Two of the 20 (10%) patients developed recurrence of infection. Fifteen patients (75%) achieved primary healing. Three patients (15%) were treated with repeated bone grafting and additional plating. The average time to union and leg length discrepancy were 10 months (range: 5-21) and 9 mm (range: 0-31), respectively. The mean foot and ankle outcome score and American Orthopaedic Foot and Ankle Society ankle-hindfoot score were 63 (range: 52-71) and 74 (range: 64-81), respectively.Conclusions: Staged TTC arthrodesis with induced membrane technique and intramedullary nail can be an effective treatment method for critical-sized bone defects involving the ankle joints.

show abstract

Section: Discussionmentioning

confidence: 78%

Treatment of Critical-Sized Bone Defects Involving the Ankle Joints: Staged Tibiotalocalcaneal Arthrodesis With Induced Membrane Technique and Intramedullary Nail

Choi

Park

et al. 2022

Journal of Orthopaedic Trauma

View full text Add to dashboard Cite

show abstract

“…Finally, 30 studies met our inclusion criteria and were included in the meta-analysis. 1,2,12–39 There were 13 level IV studies, 8 level III studies, 8 level II studies, and 1 level I study. Figure 1 shows the PRISMA flow diagram that illustrates how the final studies were selected.…”

Section: Resultsmentioning

confidence: 99%

Masquelet Technique for the Tibia: A Systematic Review and Meta-Analysis of Contemporary Outcomes

Griffin

Landy

Sneed

et al. 2023

Journal of Orthopaedic Trauma

View full text Add to dashboard Cite

show abstract

“…The 3D-printed implant emerged as a novel mean for MIMT to reconstruct broad bone loss, studies have shown positive results of implanting customized 3D-printed titanium cages with limited autograft and allogeneic cancellous bone after infection controlling by antibiotic loaded cement spacer in stage I [ 1 ]. As a substitution of simply bone graft, the 3D printed titanium prosthesis may improve the clinical efficacy by providing stable scaffold for osteogenesis [ 12 ]. However, in terms of material science, 3D-printed porous tantalum has been proved to be more similar to bone scaffold than titanium in both microstructural and biomechanical properties [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

The clinical application of customized 3D-printed porous tantalum scaffolds combined with Masquelet’s induced membrane technique to reconstruct infective segmental femoral defect

Shi

Zi³

et al. 2022

J Orthop Surg Res

View full text Add to dashboard Cite

Purpose This study mainly exams a novel treatment for infective segmental femoral defect, and we combined the 3D printed porous tantalum prosthesis and Masquelet’s induce membrane technique to reconstruct bone defect and discussed the clinical effect. Method The clinical research included 9 observational cases series, as a permanently implantation, the customized 3D-printed scaffolds that connected with an anatomical plate was implanted into the bone defect segment after successful formation of induced membrane, the clinical effect was evaluated by radiological exams and Paley’s bone union criteria. Result The personalized 3D-printed porous tantalum was, respectively, manufactured and used in 9 consecutive patients to reconstruct the infective segmental bone defect of femur, the mean defect length was 16.1 ± 2.8 cm, the mean length of follow-up was 16.9 ± 4.0 months, after 2 stage operation, there was no deep infections, refractures, sensorimotor disorder, vascular injury, ankylosis and recurrence of infection occurred in all cases. postoperative radiological exams shown stable internal fixation and osseointegration, and all these results were invariable during the follow-up time in all cases. All patients significantly obtained deformity correction and length of limb. Conclusion The customized 3D-printed porous tantalum prosthesis was an acceptable alternative treatment to the autogenous or allograft bone graft, the combination of the two techniques could achieve satisfactory reconstruct to infective broad bone defect in femur when other biological techniques were not suitable.

show abstract

A load-sharing nail - cage construct may improve outcome after induced membrane technique for segmental tibial defects

Cited by 13 publications

References 20 publications

Treatment of Critical-Sized Bone Defects Involving the Ankle Joints: Staged Tibiotalocalcaneal Arthrodesis With Induced Membrane Technique and Intramedullary Nail

Treatment of Critical-Sized Bone Defects Involving the Ankle Joints: Staged Tibiotalocalcaneal Arthrodesis With Induced Membrane Technique and Intramedullary Nail

Masquelet Technique for the Tibia: A Systematic Review and Meta-Analysis of Contemporary Outcomes

The clinical application of customized 3D-printed porous tantalum scaffolds combined with Masquelet’s induced membrane technique to reconstruct infective segmental femoral defect

Contact Info

Product

Resources

About