Masquelet technique to treat a septic nonunion after plating of a femoral open fracture
Septic nonunion is one of the most common complications after an open fracture . Risk of infection and bony defect are common after open fracture . So we need to dealt with both to improve patient outcome .
Treatment is always complicated and expensive and there is an uncertainty in the final outcome .
In 1980’s, Masquelet first described the technique of the induced membrane and autologous bone grafting to manage critical size bone defects.
In Septic non-union 2 diffenrent surgical steps are require for management .In former step , allow radical management to control infection and in later step , allow biological stimulus for bone healing .
In this case , we present a 28 years old female patient with open grade 3A Femur shaft Fracture on right side . Patient was initially treated with wound debridement and Femur plating which unfortunately resulted in septic non-union .It was then subsequently managed with the induced membrane technique and a double-plate osteosynthesis to protect the biological chamber.
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