Masquelet Technique for Chest Wall Reconstruction

Taylor, Benjamin C.; Zink, Thomas; McGowan, Sean

doi:10.2106/jbjs.cc.19.00011

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…8,9,15 To treat the chronic symptoms that develop due to rib nonunion, multiple studies have described fixation with various types of plates, bone grafts, reconstruction with resection, and masquelet for ribs. 9, [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33]38,39 Our study details outcomes after rib nonunion reconstruction surgery using a consistent technique of iliac crest bone grafting with plating under compression.…”

Section: Discussionmentioning

confidence: 99%

Outcomes After Operative Reconstruction of Symptomatic Rib Nonunions

Ogunleye

Carlson

Thomas

et al. 2022

Journal of Orthopaedic Trauma

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25 consecutive patients with 51 nonunions with disabling pain or chronic instability were treated for nonunited rib fractures.Intervention: Rib nonunion reconstructions performed using plate and screw fixation, recannalizing the medullary canal and augmented with autogenous iliac crest bone graft.Main Outcome Measurements: Patient demographics, mechanism of injury, number of rib nonunions, and postoperative radiographs were assessed. Satisfaction, patient-reported complications, return to occupation and activity, and general health measures were captured using patient questionnaires. Results:In 25 patients, 51 painful rib nonunions were surgically treated. The average length from injury to surgical rib reconstruction was 25.1 months (range = 3-118 months; median = 12 months). Follow-up was obtained in 18 of 25 patients (72%) with a mean of 46.1 months (range = 13-139 months). All ribs achieved radiographic union at an average of 12.3 weeks (range = 8-24 weeks) after surgery. Sixteen of 18 patients (89%) reported satisfaction with surgery and 15 patients (83%) reported mild to no pain at final follow-up. Five patients had complications that all resolved after subsequent treatment.Conclusions: Successful treatment of symptomatic rib nonunion is possible using rib plates in conjunction with bone grafting and has high union rates, satisfactory results, and limited complications.

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Section: Discussionmentioning

confidence: 99%

Outcomes After Operative Reconstruction of Symptomatic Rib Nonunions

Ogunleye

Carlson

Thomas

et al. 2022

Journal of Orthopaedic Trauma

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“…However, it can also secrete VEGF, TGF-β1, and BMP-2 to contribute to local vessel formation ( 11 – 13 ). To date, the Masquelet technique has been used in, but not limited to, the reconstruction of large bone defects ( 14 ), the treatment of infected femoral defects after trauma ( 15 ), the reconstruction of finger bones ( 16 ), chronic osteomyelitis ( 17 ), the reconstruction of the chest wall ( 18 ), and in the treatment of wounds. Gentamicin bone cement is applied to the wound to form an induction membrane.…”

Section: Discussionmentioning

confidence: 99%

“…Yao et al 10.3389/fsurg.2022.995316 (17), the reconstruction of the chest wall (18), and in the treatment of wounds. Gentamicin bone cement is applied to the wound to form an induction membrane.…”

Section: Discussionmentioning

confidence: 99%

Repairing tendon-exposed wounds by combing the Masquelet technique with dermoplasty

et al. 2022

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BackgroundWound repair is a new field that has emerged in China in the last 5 years. Exposed tendon wounds are one of the most common problems faced in wound treatment today, as the poor blood supply leads to low survival rates of skin grafts. This paper explores the feasibility of applying the Masquelet technique to repair tendon-exposed wounds.MethodWe examined 12 patients with tendon-exposed wounds, 5 males and 7 females, from January 2021 to November 2021, including 2 patients with post-traumatic wounds, 8 diabetic patients with dorsal wounds, and 2 patients with various chronic infections. The Masquelet technique was employed to treat these wounds. The wound surface was sealed with antibiotic bone cement to form an induction membrane, the cement was removed after 3–4 weeks, and the wound was repaired with skin grafts to observe survival, appearance, texture, healing, and related functions.ResultsAll wounds were covered with antibiotic bone cement, and after 3–4 weeks, an induction membrane was applied, and in 10 out of 12 patients, full-thickness skin grafts were applied, and the patients survived. However, in 2 patients, the skin became partially necrotic, but these patients recovered by changing medications.ConclusionThe current study found that direct skin grafting may effectively treat exposed tendon wounds once the Masquelet approach generates the induction membrane. Further, this method is less difficult, less expensive, and easier to care for the procedure that deserves to be used more frequently.

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