Repeated Induced-Membrane Technique Failure without Infection: A Series of Three Consecutive Procedures Performed for a Single Femur Defect.
Journal
Case reports in orthopedics
ISSN: 2090-6749
Titre abrégé: Case Rep Orthop
Pays: United States
ID NLM: 101591806
Informations de publication
Date de publication:
2020
2020
Historique:
received:
03
05
2020
revised:
27
06
2020
accepted:
27
07
2020
entrez:
25
8
2020
pubmed:
25
8
2020
medline:
25
8
2020
Statut:
epublish
Résumé
A 40-year-old male was treated using the induced-membrane technique (IMT) for a noninfected, 9 cm long femoral bone defect complicating a lengthening procedure. The interesting case feature lies in the three consecutive IMT procedures that were necessary to achieve complete bone repair in this unusual clinical situation. The first procedure failed because of the lack of graft revascularization likely related to an induced-membrane (IM) alteration demonstrated by histological observations. The second IMT procedure led to partial graft integration interrupted by the elongation nail breakage. At last, the third procedure fully succeeded after nail exchange and iterative iliac bone grafting. Complete bone union was achieved with a poor functional recovery one year after the last procedure and four years following the first cement spacer implantation. By means of clinical and histological observations, we demonstrated that the first and the second IMT failures had two distinct origins, namely, biological and mechanical causes, respectively. Although simple, a successful IMT procedure is not so easy to complete.
Identifiants
pubmed: 32832179
doi: 10.1155/2020/8892226
pmc: PMC7429766
doi:
Types de publication
Case Reports
Langues
eng
Pagination
8892226Informations de copyright
Copyright © 2020 Laurent Mathieu et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
Références
Ann Chir Plast Esthet. 2000 Jun;45(3):346-53
pubmed: 10929461
Injury. 2016 Dec;47 Suppl 6:S68-S76
pubmed: 28040090
Orthop Traumatol Surg Res. 2019 Feb;105(1):159-166
pubmed: 30639175
J Orthop Trauma. 2017 Oct;31 Suppl 5:S36-S38
pubmed: 28938390
Injury. 2020 Feb;51(2):132-135
pubmed: 31883866
J Bone Joint Surg Am. 2013 Apr 3;95(7):597-604
pubmed: 23553294
Orthopedics. 2014 Nov;37(11):e1045-8
pubmed: 25361369
Bone Joint J. 2017 May;99-B(5):680-685
pubmed: 28455479
J Orthop Trauma. 2019 Nov;33(11):547-552
pubmed: 31403558
Orthop Clin North Am. 2010 Jan;41(1):27-37; table of contents
pubmed: 19931050
J Orthop Res. 2004 Jan;22(1):73-9
pubmed: 14656662
J Bone Joint Surg Am. 1999 Sep;81(9):1245-60
pubmed: 10505521
J Tissue Eng Regen Med. 2017 Feb;11(2):382-389
pubmed: 24919776
Injury. 2011 Jun;42(6):591-8
pubmed: 21543068
Microsurgery. 2011 Mar;31(3):205-11
pubmed: 21360586