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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Elsevier
2021
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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) |
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Masquelet Induced membrane Limb salvage Forearm Reconstruction Fracture Surgery RD1-811 |
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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 |
work_keys_str_mv |
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