Intramedullary nail after Masquelet bone graft fracture: A case report

Abstract

Large bone defects are challenging to reconstruct and often require specialised treatment strategies, multiple surgeries and long treatment periods. When these bone defects are the result of chronic infection the complexity of the reconstructive process increases exponentially. In the subtrochanteric area of the femur, bone defects secondary to infection are especially challenging as skeletal stabilisation is difficult and internal fixation is considered with caution due to the risk of recurrent infection. We report a case of a 24-year-old male who was successfully treated with an intramedullary nail after a fracture through a subtrochanteric Masquelet bone graft site.

Multi-stage treatment for malunion and avascular necrosis of the femoral head following reverse oblique pertrochanteric fracture: A case report and literature review

“…There is a paucity of literature focusing solely on the reconstruction of non- or malunions following fractures in the proximal femur. In one case study, the Masquelet procedure was reported in a 24-year-old man with osteomyelitis following to subtrochanteric fractures operated on with a plate [49] . In our patient, only superficial wound infection, but not osteomyelitis, was observed shortly after the first operation.…”