Masquelet technique for the treatment of bone defects: Tips-tricks and future directions
Masquelet technique for the treatment of bone defects: Tips-tricks and future directions
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DOI：
10.1016/j.injury.2011.03.036
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发表时间：
2011-06-01
影响因子：
2.5
通讯作者：
Dimitriou, Rozalia
中科院分区：
文献类型：
--
作者：
Giannoudis, Peter V.;Faour, Omar;Dimitriou, Rozalia
骨干骨缺损的重建仍然是一个重大的临床挑战。有几种方法用于再生骨丢失和恢复功能的共同目标。最常用的方法是带血管腓骨自体移植和Ilizarov骨转移技术。最近，Masquelet提出了一种结合诱导膜和松质骨自体移植的方法。本文的目的是简要描述该技术，审查目前的证据，并讨论可以帮助外科医生改善结果的提示和技巧。还讨论了今后提高其效力和扩大其应用的方向。然而，预测骨缺损重建的结果仍然很困难;并且应该始终告知患者，尽管潜在的并发症大多是可预测的，但在大多数情况下，重建过程是漫长而困难的。(C)2011爱思唯尔有限公司版权所有。
Reconstruction of diaphyseal bone defects still represents a major clinical challenge. Several approaches are used with the common objective to regenerate bone loss and restore function. The methods most commonly used are the vascularised fibula autograft and the Ilizarov bone transfer technique. Recently, Masquelet proposed a procedure combining induced membranes and cancellous autografts. The aim of this article was to briefly describe the technique, to review the current evidence and to discuss the tips and tricks that could help the surgeons to improve outcome. Future directions to increase its effectiveness and expand its application are also being discussed. However, predicting the outcome of reconstruction of bone defects remains difficult; and the patient should always be informed that, although potential complications are mostly predictable, in most of the cases the reconstruction process is long and difficult. (C) 2011 Elsevier Ltd. All rights reserved.