Metacarpal bone reconstruction by a cementless induced membrane technique.
Adult
Anti-Bacterial Agents
/ therapeutic use
Cancellous Bone
/ transplantation
Cortical Bone
/ transplantation
Foreign Bodies
Foreign-Body Reaction
/ etiology
Fracture Healing
Fractures, Open
/ surgery
Guided Tissue Regeneration
/ methods
Humans
Ilium
/ transplantation
Male
Metacarpal Bones
/ injuries
Polypropylenes
Surgical Flaps
Surgical Wound Infection
/ etiology
Tibia
/ transplantation
Wounds, Gunshot
/ surgery
Gunshot wound
Induced membrane
Membrane induite
Metacarpal bone
Métacarpien
Polypropylene
Polypropylène
Traumatisme balistique
Journal
Hand surgery & rehabilitation
ISSN: 2468-1210
Titre abrégé: Hand Surg Rehabil
Pays: France
ID NLM: 101681801
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
06
12
2018
revised:
09
01
2019
accepted:
19
01
2019
pubmed:
29
1
2019
medline:
12
2
2020
entrez:
29
1
2019
Statut:
ppublish
Résumé
Gunshot wounds to the hand often produce complex injuries and large segmental bone defects. Bone reconstruction remains a challenge in this context. The induced membrane technique is a simple and effective procedure for reconstruction of segmental bone defects. The technique is straightforward but must be performed rigorously. Usually polymethylmethacrylate (PMMA) cement is required for the first stage of the surgery. We describe four cases of metacarpal bone reconstruction after gunshot wounds in a limited-resource setting. Two patients were treated using the induced membrane technique with a polypropylene syringe body instead of PMMA cement, which was unavailable in this situation. A thick membrane was observed 6 weeks after spacer implantation. Bone union was achieved in all cases.
Identifiants
pubmed: 30690200
pii: S2468-1229(19)30021-0
doi: 10.1016/j.hansur.2019.01.002
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Polypropylenes
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
83-86Informations de copyright
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