Wrist fusion using an induced membrane technique for forearm salvage in a patient with an infected open injury with segmental bone loss: A case report

This case report describes the management of a 27-year-old male who, after a quadbike accident, presented with an open, infected, segmental both bone forearm injury with significant bone and soft tissue loss including the radio-carpal joint. Limb salvage was accomplished in the form of a single bone...

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Autores principales: James M.Y. Chowdhury, Daniel J. Wilks, Waseem Bhat, Sam Vollans, Nicholas Foster, Jay Wiper, Paul J. Harwood
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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spelling oai:doaj.org-article:4499eee525df472185ea035727749b9d2021-11-04T04:32:52ZWrist fusion using an induced membrane technique for forearm salvage in a patient with an infected open injury with segmental bone loss: A case report2352-644010.1016/j.tcr.2021.100550https://doaj.org/article/4499eee525df472185ea035727749b9d2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352644021001552https://doaj.org/toc/2352-6440This case report describes the management of a 27-year-old male who, after a quadbike accident, presented with an open, infected, segmental both bone forearm injury with significant bone and soft tissue loss including the radio-carpal joint. Limb salvage was accomplished in the form of a single bone forearm fusion utilising Masquelet's two-stage induced membrane technique to reconstruct the segmental bone defect. The patient proceeded to uneventful bony union by 6 months and returned to driving and riding a quadbike. Despite significant deep infection, successful salvage was achieved using the induced membrane technique. Critical to success was aggressive, repeated debridement alongside restoration of vascular supply and reconstruction of soft tissue defects. We highlight the multidisciplinary approach to management including relevant specialists with a particular interest in limb reconstruction.James M.Y. ChowdhuryDaniel J. WilksWaseem BhatSam VollansNicholas FosterJay WiperPaul J. HarwoodElsevierarticleMasqueletInduced membraneLimb salvageForearmReconstructionFractureSurgeryRD1-811ENTrauma Case Reports, Vol 36, Iss , Pp 100550- (2021)
institution DOAJ
collection DOAJ
language EN
topic Masquelet
Induced membrane
Limb salvage
Forearm
Reconstruction
Fracture
Surgery
RD1-811
spellingShingle Masquelet
Induced membrane
Limb salvage
Forearm
Reconstruction
Fracture
Surgery
RD1-811
James M.Y. Chowdhury
Daniel J. Wilks
Waseem Bhat
Sam Vollans
Nicholas Foster
Jay Wiper
Paul J. Harwood
Wrist fusion using an induced membrane technique for forearm salvage in a patient with an infected open injury with segmental bone loss: A case report
description This case report describes the management of a 27-year-old male who, after a quadbike accident, presented with an open, infected, segmental both bone forearm injury with significant bone and soft tissue loss including the radio-carpal joint. Limb salvage was accomplished in the form of a single bone forearm fusion utilising Masquelet's two-stage induced membrane technique to reconstruct the segmental bone defect. The patient proceeded to uneventful bony union by 6 months and returned to driving and riding a quadbike. Despite significant deep infection, successful salvage was achieved using the induced membrane technique. Critical to success was aggressive, repeated debridement alongside restoration of vascular supply and reconstruction of soft tissue defects. We highlight the multidisciplinary approach to management including relevant specialists with a particular interest in limb reconstruction.
format article
author James M.Y. Chowdhury
Daniel J. Wilks
Waseem Bhat
Sam Vollans
Nicholas Foster
Jay Wiper
Paul J. Harwood
author_facet James M.Y. Chowdhury
Daniel J. Wilks
Waseem Bhat
Sam Vollans
Nicholas Foster
Jay Wiper
Paul J. Harwood
author_sort James M.Y. Chowdhury
title Wrist fusion using an induced membrane technique for forearm salvage in a patient with an infected open injury with segmental bone loss: A case report
title_short Wrist fusion using an induced membrane technique for forearm salvage in a patient with an infected open injury with segmental bone loss: A case report
title_full Wrist fusion using an induced membrane technique for forearm salvage in a patient with an infected open injury with segmental bone loss: A case report
title_fullStr Wrist fusion using an induced membrane technique for forearm salvage in a patient with an infected open injury with segmental bone loss: A case report
title_full_unstemmed Wrist fusion using an induced membrane technique for forearm salvage in a patient with an infected open injury with segmental bone loss: A case report
title_sort wrist fusion using an induced membrane technique for forearm salvage in a patient with an infected open injury with segmental bone loss: a case report
publisher Elsevier
publishDate 2021
url https://doaj.org/article/4499eee525df472185ea035727749b9d
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